39D0946050 CLIA NUMBER - BERKLEY HILLS LAB

Laboratory Demographics

  • CLIA Code: 39D0946050
  • Facility Name: BERKLEY HILLS LAB
  • Facility Address: 322 WARREN STREET SUITE 160
    JOHNSTOWN, PA
    ZIP 15905
  • Facility Phone: 814 288-4498
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RICHARD M. KASTELIC
  • NPI Number: 1265616460
  • Taxonomy: 103T00000X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 39D0946050
LAB Type Physician Office
Facility Name BERKLEY HILLS LAB
Street 322 WARREN STREET SUITE 160
City JOHNSTOWN
State PA
ZIP 15905
Phone 814 288-4498
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/23/2023
Certificate Expiration Date 11/22/2025
Facility Type Physician Office
Lab Director DR. RICHARD M. KASTELIC

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