39D1031709 CLIA NUMBER - MARIENVILLE FAMILY HEALTH BROOKVILLE HOSPITAL

Laboratory Demographics

  • CLIA Code: 39D1031709
  • Facility Name: MARIENVILLE FAMILY HEALTH BROOKVILLE HOSPITAL
  • Facility Address: 125 CHESTNUT STREET
    MARIENVILLE, PA
    ZIP 16239
  • Facility Phone: (814) 849-1417
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JAMES E. DEVLIN
  • NPI Number: 1235465592
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D1031709
LAB Type Physician Office
Facility Name MARIENVILLE FAMILY HEALTH BROOKVILLE HOSPITAL
Street 125 CHESTNUT STREET
City MARIENVILLE
State PA
ZIP 16239
Phone 8148491417
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2024
Certificate Expiration Date 10/6/2026
Facility Type Physician Office
Lab Director DR. JAMES E. DEVLIN

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: 5/18/2026