39D0968753 CLIA NUMBER - PREFERRED PRIMARY CARE PHYSICIANS INC

Laboratory Demographics

  • CLIA Code: 39D0968753
  • Facility Name: PREFERRED PRIMARY CARE PHYSICIANS INC
  • Facility Address: 3928 WASHINGTON ROAD, SUITE 220
    MCMURRAY, PA
    ZIP 15317
  • Facility Phone: 724 941-8877
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ASHITH MALLY
  • NPI Number: 1265196208
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0968753
LAB Type Physician Office
Facility Name PREFERRED PRIMARY CARE PHYSICIANS INC
Street 3928 WASHINGTON ROAD, SUITE 220
City MCMURRAY
State PA
ZIP 15317
Phone 724 941-8877
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2023
Certificate Expiration Date 12/20/2025
Facility Type Physician Office
Lab Director ASHITH MALLY

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