39D1024451 CLIA NUMBER - ADELPHOI VILLAGE INC

Laboratory Demographics

  • CLIA Code: 39D1024451
  • Facility Name: ADELPHOI VILLAGE INC
  • Facility Address: 1133 VILLAGE WAY
    LATROBE, PA
    ZIP 15650
  • Facility Phone: 724 520-1111
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DR. FREDRICK R. SCHULTZ
  • NPI Number: 1013034750
  • Taxonomy: 103T00000X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 39D1024451
LAB Type Other
Facility Name ADELPHOI VILLAGE INC
Street 1133 VILLAGE WAY
City LATROBE
State PA
ZIP 15650
Phone 724 520-1111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2024
Certificate Expiration Date 4/12/2026
Facility Type Other
Lab Director DR. FREDRICK R. SCHULTZ

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