39D1028412 CLIA NUMBER - PEDIATRIC ASSOC OF WESTMORELAND-LATROBE

Laboratory Demographics

  • CLIA Code: 39D1028412
  • Facility Name: PEDIATRIC ASSOC OF WESTMORELAND-LATROBE
  • Facility Address: 108 HORNER LANE
    LATROBE, PA
    ZIP 15650
  • Facility Phone: 724 537-2131
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: THAER ALMALOUF
  • NPI Number: 1164641692
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 39D1028412
LAB Type Physician Office
Facility Name PEDIATRIC ASSOC OF WESTMORELAND-LATROBE
Street 108 HORNER LANE
City LATROBE
State PA
ZIP 15650
Phone 724 537-2131
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/23/2024
Certificate Expiration Date 7/22/2026
Facility Type Physician Office
Lab Director THAER ALMALOUF

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