39D0936522 CLIA NUMBER - RICHARD SANDROWICZ MD

Laboratory Demographics

  • CLIA Code: 39D0936522
  • Facility Name: RICHARD SANDROWICZ MD
  • Facility Address: 119 PROFESSIONAL CENTER, STE 105 1265 WAYNE AVENUE
    INDIANA, PA
    ZIP 15701
  • Facility Phone: 724 349-6742
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICHARD R. SANDROWICZ MD
  • NPI Number: 1477592582
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0936522
LAB Type Physician Office
Facility Name RICHARD SANDROWICZ MD
Street 119 PROFESSIONAL CENTER, STE 105 1265 WAYNE AVENUE
City INDIANA
State PA
ZIP 15701
Phone 724 349-6742
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/24/2023
Certificate Expiration Date 11/23/2025
Facility Type Physician Office
Lab Director RICHARD R. SANDROWICZ MD

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