39D0972810 CLIA NUMBER - WARREN GENERAL HOSPITAL RHC MARKET

Laboratory Demographics

  • CLIA Code: 39D0972810
  • Facility Name: WARREN GENERAL HOSPITAL RHC MARKET
  • Facility Address: 2265 MARKET ST SUITE 1
    WARREN, PA
    ZIP 16365
  • Facility Phone: 814 728-8683
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. TREVOR M. OLSEN
  • NPI Number: 1609167667
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 39D0972810
LAB Type Physician Office
Facility Name WARREN GENERAL HOSPITAL RHC MARKET
Street 2265 MARKET ST SUITE 1
City WARREN
State PA
ZIP 16365
Phone 814 728-8683
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2024
Certificate Expiration Date 4/16/2026
Facility Type Physician Office
Lab Director DR. TREVOR M. OLSEN

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