39D0990401 CLIA NUMBER - IMAC-UPMC-CRANBERRY

Laboratory Demographics

  • CLIA Code: 39D0990401
  • Facility Name: IMAC-UPMC-CRANBERRY
  • Facility Address: 20130 ROUTE 19, SUITE 1100
    CRANBERRY TOWNSHIP, PA
    ZIP 16066
  • Facility Phone: 724 779-7400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JANET S. GODFREY
  • NPI Number: 1053727891
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D0990401
LAB Type Physician Office
Facility Name IMAC-UPMC-CRANBERRY
Street 20130 ROUTE 19, SUITE 1100
City CRANBERRY TOWNSHIP
State PA
ZIP 16066
Phone 724 779-7400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2025
Certificate Expiration Date 8/21/2027
Facility Type Physician Office
Lab Director DR. JANET S. GODFREY

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