39D0935330 CLIA NUMBER - MORGANTOWN FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 39D0935330
  • Facility Name: MORGANTOWN FAMILY PRACTICE
  • Facility Address: MAIN STREET PO BOX 488
    MORGANTOWN, PA
    ZIP 19543
  • Facility Phone: 610 286-9064
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GORDON R. DONALDSON DO
  • NPI Number: 1710958475
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0935330
LAB Type Physician Office
Facility Name MORGANTOWN FAMILY PRACTICE
Street MAIN STREET PO BOX 488
City MORGANTOWN
State PA
ZIP 19543
Phone 610 286-9064
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2023
Certificate Expiration Date 10/26/2025
Facility Type Physician Office
Lab Director GORDON R. DONALDSON DO

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