39D0988988 CLIA NUMBER - ST CLAIR MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 39D0988988
  • Facility Name: ST CLAIR MEDICAL GROUP
  • Facility Address: 2000 OXFORD DRIVE SUITE 420
    BETHEL PARK, PA
    ZIP 15102
  • Facility Phone: 412 942-8500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ANTONIO M. RICCELLI
  • NPI Number: 1225329980
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0988988
LAB Type Physician Office
Facility Name ST CLAIR MEDICAL GROUP
Street 2000 OXFORD DRIVE SUITE 420
City BETHEL PARK
State PA
ZIP 15102
Phone 412 942-8500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2025
Certificate Expiration Date 1/17/2027
Facility Type Physician Office
Lab Director DR. ANTONIO M. RICCELLI

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