39D1051585 CLIA NUMBER - DAN G ALEXANDER MD

Laboratory Demographics

  • CLIA Code: 39D1051585
  • Facility Name: DAN G ALEXANDER MD
  • Facility Address: 1569 SMITH TOWNSHIP STATE ROAD SUITE 6
    ATLASBURG, PA
    ZIP 15004
  • Facility Phone: 724 947-5535
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAN G. ALEXANDER MD
  • NPI Number: 1053385955
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D1051585
LAB Type Physician Office
Facility Name DAN G ALEXANDER MD
Street 1569 SMITH TOWNSHIP STATE ROAD SUITE 6
City ATLASBURG
State PA
ZIP 15004
Phone 724 947-5535
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2024
Certificate Expiration Date 3/6/2026
Facility Type Physician Office
Lab Director DAN G. ALEXANDER MD

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