39D0996174 CLIA NUMBER - BRADDOCK FAMILY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 39D0996174
  • Facility Name: BRADDOCK FAMILY HEALTH CENTER
  • Facility Address: 404 BRADDOCK AVENUE
    BRADDOCK, PA
    ZIP 15104
  • Facility Phone: 412 351-6400
  • Facility Type: Rural Health Clinic
  • Facility Type: Microscopy
  • Lab Director: DR. ROBIN L. SIMS
  • NPI Number: 1033577259
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 39D0996174
LAB Type Rural Health Clinic
Facility Name BRADDOCK FAMILY HEALTH CENTER
Street 404 BRADDOCK AVENUE
City BRADDOCK
State PA
ZIP 15104
Phone 412 351-6400
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/12/2024
Certificate Expiration Date 2/11/2026
Facility Type Rural Health Clinic
Lab Director DR. ROBIN L. SIMS

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