39D0997511 CLIA NUMBER - PRIMARY HEALTH NETWORK BEAVER FALLS

Laboratory Demographics

  • CLIA Code: 39D0997511
  • Facility Name: PRIMARY HEALTH NETWORK BEAVER FALLS
  • Facility Address: 1302 7TH AVENUE
    BEAVER FALLS, PA
    ZIP 15010
  • Facility Phone: 724 843-4400
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: TIMOTHY GOETZE
  • NPI Number: 1477750123
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D0997511
LAB Type Community Clinic
Facility Name PRIMARY HEALTH NETWORK BEAVER FALLS
Street 1302 7TH AVENUE
City BEAVER FALLS
State PA
ZIP 15010
Phone 724 843-4400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2024
Certificate Expiration Date 3/17/2026
Facility Type Community Clinic
Lab Director TIMOTHY GOETZE

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