39D0961826 CLIA NUMBER - CCP HOPE NORTHWEST

Laboratory Demographics

  • CLIA Code: 39D0961826
  • Facility Name: CCP HOPE NORTHWEST
  • Facility Address: 3512 STATE ROUTE 257 SUITE 106
    SENECA, PA
    ZIP 16346
  • Facility Phone: 814 677-3717
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JENNIFER M. BISHOP
  • NPI Number: 1124141239
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 39D0961826
LAB Type Physician Office
Facility Name CCP HOPE NORTHWEST
Street 3512 STATE ROUTE 257 SUITE 106
City SENECA
State PA
ZIP 16346
Phone 814 677-3717
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2025
Certificate Expiration Date 6/17/2027
Facility Type Physician Office
Lab Director DR. JENNIFER M. BISHOP

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