39D0986134 CLIA NUMBER - UPMC KANE RHC-JOHNSONBURG

Laboratory Demographics

  • CLIA Code: 39D0986134
  • Facility Name: UPMC KANE RHC-JOHNSONBURG
  • Facility Address: 81 CLARION ROAD
    JOHNSONBURG, PA
    ZIP 15845
  • Facility Phone: 814 389-4412
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. PETRA DANIELISZ
  • NPI Number: 1043821002
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D0986134
LAB Type Physician Office
Facility Name UPMC KANE RHC-JOHNSONBURG
Street 81 CLARION ROAD
City JOHNSONBURG
State PA
ZIP 15845
Phone 814 389-4412
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2025
Certificate Expiration Date 5/7/2027
Facility Type Physician Office
Lab Director DR. PETRA DANIELISZ

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