39D1025064 CLIA NUMBER - CENTERVILLE CLINICS INC CHARLEROI

Laboratory Demographics

  • CLIA Code: 39D1025064
  • Facility Name: CENTERVILLE CLINICS INC CHARLEROI
  • Facility Address: 200 CHAMBER PLAZA
    CHARLEROI, PA
    ZIP 15022
  • Facility Phone: 724 483-5482
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: EDWARD SALOPEK MD
  • NPI Number: 1144201401
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 39D1025064
LAB Type Federally Qualified Health Center
Facility Name CENTERVILLE CLINICS INC CHARLEROI
Street 200 CHAMBER PLAZA
City CHARLEROI
State PA
ZIP 15022
Phone 724 483-5482
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2024
Certificate Expiration Date 4/27/2026
Facility Type Federally Qualified Health Center
Lab Director EDWARD SALOPEK MD

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