39D1002304 CLIA NUMBER - STATE COLLEGE CBOC

Laboratory Demographics

  • CLIA Code: 39D1002304
  • Facility Name: STATE COLLEGE CBOC
  • Facility Address: 2581 CLYDE AVENUE
    STATE COLLEGE, PA
    ZIP 16801
  • Facility Phone: 814 943-8164
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: YA ZHANG
  • NPI Number: 1750329439
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 39D1002304
LAB Type Community Clinic
Facility Name STATE COLLEGE CBOC
Street 2581 CLYDE AVENUE
City STATE COLLEGE
State PA
ZIP 16801
Phone 814 943-8164
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/5/2002
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director YA ZHANG

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