39D0930804 CLIA NUMBER - HERITAGE VALLEY BUSINESS CARE

Laboratory Demographics

CLIA Number: 39D0930804

Facility Name: HERITAGE VALLEY BUSINESS CARE

Facility Address:
79 WAGNER ROAD, SUITE 100
MONACA, PA
ZIP 15061
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Facility Phone Number: 724 857-4004

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1467839001

Taxonomy: 2084N0400X - Psychiatry & Neurology
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

CLIA Record

Field Name	Field Value
CLIA Number	39D0930804
LAB Type	Other
Facility Name	HERITAGE VALLEY BUSINESS CARE
Street	79 WAGNER ROAD, SUITE 100
City	MONACA
State	PA
ZIP	15061
Phone	724 857-4004
CertificateType	4
CertificateEffectiveDate	7/18/2023
CertificateExpirationDate	7/17/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024