39D0970652 CLIA NUMBER - PREFERRED PRIMARY CARE PHYSICIANS INC

Laboratory Demographics

  • CLIA Code: 39D0970652
  • Facility Name: PREFERRED PRIMARY CARE PHYSICIANS INC
  • Facility Address: 102 BROADWAY AVENUE SUITE 100
    CARNEGIE, PA
    ZIP 15106
  • Facility Phone: 412 279-0320
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM BADER MD
  • NPI Number: 1194912600
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D0970652
LAB Type Physician Office
Facility Name PREFERRED PRIMARY CARE PHYSICIANS INC
Street 102 BROADWAY AVENUE SUITE 100
City CARNEGIE
State PA
ZIP 15106
Phone 412 279-0320
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2024
Certificate Expiration Date 2/21/2026
Facility Type Physician Office
Lab Director WILLIAM BADER MD

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