39D0951121 CLIA NUMBER - PRIME MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 39D0951121
  • Facility Name: PRIME MEDICAL GROUP
  • Facility Address: 1645 ROSTRAVER ROAD, SUITE 202
    BELLE VERNON, PA
    ZIP 15012
  • Facility Phone: 724 929-2260
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JAMES C. SOLAVA
  • NPI Number: 1407098643
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0951121
LAB Type Physician Office
Facility Name PRIME MEDICAL GROUP
Street 1645 ROSTRAVER ROAD, SUITE 202
City BELLE VERNON
State PA
ZIP 15012
Phone 724 929-2260
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2024
Certificate Expiration Date 9/13/2026
Facility Type Physician Office
Lab Director DR. JAMES C. SOLAVA

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