39D0944324 CLIA NUMBER - PRIME MEDICAL GROUP (SOUTH)

Laboratory Demographics

  • CLIA Code: 39D0944324
  • Facility Name: PRIME MEDICAL GROUP (SOUTH)
  • Facility Address: 1200 BROOKS LANE, SUITE 110
    CLAIRTON, PA
    ZIP 15025
  • Facility Phone: 412 466-5502
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BRUNO J. CASILE
  • NPI Number: 1679712764
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0944324
LAB Type Physician Office
Facility Name PRIME MEDICAL GROUP (SOUTH)
Street 1200 BROOKS LANE, SUITE 110
City CLAIRTON
State PA
ZIP 15025
Phone 412 466-5502
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2024
Certificate Expiration Date 4/9/2026
Facility Type Physician Office
Lab Director DR. BRUNO J. CASILE

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