39D0925909 CLIA NUMBER - CORRY MEM HOSP RURAL HEALTH CLIN CORRY MEMORIAL HOSPITAL

Laboratory Demographics

  • CLIA Code: 39D0925909
  • Facility Name: CORRY MEM HOSP RURAL HEALTH CLIN CORRY MEMORIAL HOSPITAL
  • Facility Address: 965 SHAMROCK LANE
    CORRY, PA
    ZIP 16407
  • Facility Phone: 814 664-3979
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. SARAH E. BREON
  • NPI Number: 1255922043
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D0925909
LAB Type Community Clinic
Facility Name CORRY MEM HOSP RURAL HEALTH CLIN CORRY MEMORIAL HOSPITAL
Street 965 SHAMROCK LANE
City CORRY
State PA
ZIP 16407
Phone 814 664-3979
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2025
Certificate Expiration Date 3/10/2027
Facility Type Community Clinic
Lab Director DR. SARAH E. BREON

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