39D0936642 CLIA NUMBER - AHN PRIMARY CARE VANDERGRIFT

Laboratory Demographics

  • CLIA Code: 39D0936642
  • Facility Name: AHN PRIMARY CARE VANDERGRIFT
  • Facility Address: 224 LONGFELLOW STREET SUITE 200
    VANDERGRIFT, PA
    ZIP 15690
  • Facility Phone: 724 568-5551
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL C. ONG
  • NPI Number: 1538152863
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0936642
LAB Type Physician Office
Facility Name AHN PRIMARY CARE VANDERGRIFT
Street 224 LONGFELLOW STREET SUITE 200
City VANDERGRIFT
State PA
ZIP 15690
Phone 724 568-5551
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/26/2023
Certificate Expiration Date 11/25/2025
Facility Type Physician Office
Lab Director DR. MICHAEL C. ONG

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