39D0906412 CLIA NUMBER - CENTERVILLE CLINICS BENTLEYVILLE OFFICE

Laboratory Demographics

  • CLIA Code: 39D0906412
  • Facility Name: CENTERVILLE CLINICS BENTLEYVILLE OFFICE
  • Facility Address: 100 WILSON ROAD
    BENTLEYVILLE, PA
    ZIP 15314
  • Facility Phone: 724 239-2390
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DANIELLE M. ZACHAR
  • NPI Number: 1205312394
  • Taxonomy: 1041S0200X - Social Worker

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CLIA Record

Field Name Field Value
CLIA Number 39D0906412
LAB Type Physician Office
Facility Name CENTERVILLE CLINICS BENTLEYVILLE OFFICE
Street 100 WILSON ROAD
City BENTLEYVILLE
State PA
ZIP 15314
Phone 724 239-2390
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2025
Certificate Expiration Date 10/1/2027
Facility Type Physician Office
Lab Director DR. DANIELLE M. ZACHAR

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This page was last updated on: 9/29/2025