39D0921947 CLIA NUMBER - PRIMARY CARE PARTNERS

Laboratory Demographics

  • CLIA Code: 39D0921947
  • Facility Name: PRIMARY CARE PARTNERS
  • Facility Address: 7287 WEST RIDGE RD
    FAIRVIEW, PA
    ZIP 16415
  • Facility Phone: 814 877-2360
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BRIAN J. STARK
  • NPI Number: 1114184520
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 39D0921947
LAB Type Physician Office
Facility Name PRIMARY CARE PARTNERS
Street 7287 WEST RIDGE RD
City FAIRVIEW
State PA
ZIP 16415
Phone 814 877-2360
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2024
Certificate Expiration Date 2/28/2026
Facility Type Physician Office
Lab Director DR. BRIAN J. STARK

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This page was last updated on: 6/4/2025