39D0911482 CLIA NUMBER - MCKEESPORT FAMILY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 39D0911482
  • Facility Name: MCKEESPORT FAMILY HEALTH CENTER
  • Facility Address: 627 LYSLE BLVD
    MCKEESPORT, PA
    ZIP 15132
  • Facility Phone: 412 664-4112
  • Facility Type: Other
  • Facility Type: Microscopy
  • Lab Director: ROBIN SIMS MD
  • NPI Number: 1356395867
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 39D0911482
LAB Type Other
Facility Name MCKEESPORT FAMILY HEALTH CENTER
Street 627 LYSLE BLVD
City MCKEESPORT
State PA
ZIP 15132
Phone 412 664-4112
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/7/2024
Certificate Expiration Date 2/6/2026
Facility Type Other
Lab Director ROBIN SIMS MD

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