39D0994301 CLIA NUMBER - AUTUMN STREET HEALTH CTR

Laboratory Demographics

  • CLIA Code: 39D0994301
  • Facility Name: AUTUMN STREET HEALTH CTR
  • Facility Address: 99 AUTUMN STREET PRIMARY HEALTH NETWORK
    ALIQUIPPA, PA
    ZIP 15001
  • Facility Phone: 724 375-5754
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. PATRICIA A. LOGAN FARLEY
  • NPI Number: 1538277389
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 39D0994301
LAB Type Physician Office
Facility Name AUTUMN STREET HEALTH CTR
Street 99 AUTUMN STREET PRIMARY HEALTH NETWORK
City ALIQUIPPA
State PA
ZIP 15001
Phone 724 375-5754
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2024
Certificate Expiration Date 11/8/2026
Facility Type Physician Office
Lab Director DR. PATRICIA A. LOGAN FARLEY

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