39D1050469 CLIA NUMBER - PENN PEDIATRICS

Laboratory Demographics

  • CLIA Code: 39D1050469
  • Facility Name: PENN PEDIATRICS
  • Facility Address: 2550 MOSSIDE BOULEVARD SUITE 111
    MONROEVILLE, PA
    ZIP 15146
  • Facility Phone: 412 856-5437
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUGANDHI REDDY MD
  • NPI Number: 1629042536
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 39D1050469
LAB Type Physician Office
Facility Name PENN PEDIATRICS
Street 2550 MOSSIDE BOULEVARD SUITE 111
City MONROEVILLE
State PA
ZIP 15146
Phone 412 856-5437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2024
Certificate Expiration Date 2/2/2026
Facility Type Physician Office
Lab Director SUGANDHI REDDY MD

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