39D1021788 CLIA NUMBER - TRI-STATE SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 39D1021788
  • Facility Name: TRI-STATE SURGERY CENTER, LLC
  • Facility Address: 80 LANDINGS DRIVE, SUITE 101
    WASHINGTON, PA
    ZIP 15301
  • Facility Phone: 724 225-8800
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. DAMON L. HOFFMANN
  • NPI Number: 1427094945
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D1021788
LAB Type Ambulatory Surgery Center
Facility Name TRI-STATE SURGERY CENTER, LLC
Street 80 LANDINGS DRIVE, SUITE 101
City WASHINGTON
State PA
ZIP 15301
Phone 724 225-8800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2024
Certificate Expiration Date 5/9/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. DAMON L. HOFFMANN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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