39D0963733 CLIA NUMBER - CHILDRENS COMMUNITY PEDIATRICS GROVE CITY

Laboratory Demographics

  • CLIA Code: 39D0963733
  • Facility Name: CHILDRENS COMMUNITY PEDIATRICS GROVE CITY
  • Facility Address: 1424 WEST MAIN ST, SUITE 3
    GROVE CITY, PA
    ZIP 16127
  • Facility Phone: 724 458-5872
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DAVID W. HEFNER
  • NPI Number: 1619495926
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 39D0963733
LAB Type Physician Office
Facility Name CHILDRENS COMMUNITY PEDIATRICS GROVE CITY
Street 1424 WEST MAIN ST, SUITE 3
City GROVE CITY
State PA
ZIP 16127
Phone 724 458-5872
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2025
Certificate Expiration Date 8/8/2027
Facility Type Physician Office
Lab Director DR. DAVID W. HEFNER

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