39D0920864 CLIA NUMBER - SANDY LAKE COMMUNITY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 39D0920864
  • Facility Name: SANDY LAKE COMMUNITY HEALTH CENTER
  • Facility Address: 3205 SOUTH MAIN STREET
    SANDY LAKE, PA
    ZIP 16145
  • Facility Phone: 724 342-3002
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CORINNE F. BROOKS
  • NPI Number: 1083084495
  • Taxonomy: 261QF0400X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D0920864
LAB Type Physician Office
Facility Name SANDY LAKE COMMUNITY HEALTH CENTER
Street 3205 SOUTH MAIN STREET
City SANDY LAKE
State PA
ZIP 16145
Phone 724 342-3002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2024
Certificate Expiration Date 10/10/2026
Facility Type Physician Office
Lab Director DR. CORINNE F. BROOKS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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