39D0925926 CLIA NUMBER - GAUDENZIA ERIE INC

Laboratory Demographics

  • CLIA Code: 39D0925926
  • Facility Name: GAUDENZIA ERIE INC
  • Facility Address: 414 WEST 5TH STREET
    ERIE, PA
    ZIP 16507
  • Facility Phone: 814 459-4775
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL S. ANTOON
  • NPI Number: 1922180652
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 39D0925926
LAB Type Other
Facility Name GAUDENZIA ERIE INC
Street 414 WEST 5TH STREET
City ERIE
State PA
ZIP 16507
Phone 814 459-4775
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2024
Certificate Expiration Date 9/12/2026
Facility Type Other
Lab Director DR. MICHAEL S. ANTOON

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