39D1011588 CLIA NUMBER - HORIZON DERM GREENVILLE

Laboratory Demographics

  • CLIA Code: 39D1011588
  • Facility Name: HORIZON DERM GREENVILLE
  • Facility Address: 110 NORTH MAIN STREET, 3RD FLOOR
    GREENVILLE, PA
    ZIP 16125
  • Facility Phone: 724 342-4310
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JENNIFER ZAHNISER
  • NPI Number: 1013344035
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 39D1011588
LAB Type Physician Office
Facility Name HORIZON DERM GREENVILLE
Street 110 NORTH MAIN STREET, 3RD FLOOR
City GREENVILLE
State PA
ZIP 16125
Phone 724 342-4310
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2025
Certificate Expiration Date 4/14/2027
Facility Type Physician Office
Lab Director DR. JENNIFER ZAHNISER

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