39D1026534 CLIA NUMBER - 20/20 SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 39D1026534
  • Facility Name: 20/20 SURGERY CENTER LLC
  • Facility Address: 516 PELLIS ROAD
    GREENSBURG, PA
    ZIP 15601
  • Facility Phone: 724 836-0190
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: H KING HARTMAN JR MD
  • NPI Number: 1194718940
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D1026534
LAB Type Ambulatory Surgery Center
Facility Name 20/20 SURGERY CENTER LLC
Street 516 PELLIS ROAD
City GREENSBURG
State PA
ZIP 15601
Phone 724 836-0190
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2024
Certificate Expiration Date 6/7/2026
Facility Type Ambulatory Surgery Center
Lab Director H KING HARTMAN JR MD

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