39D1059573 CLIA NUMBER - WAHL FAMILY PRACTICE PC

Laboratory Demographics

  • CLIA Code: 39D1059573
  • Facility Name: WAHL FAMILY PRACTICE PC
  • Facility Address: 109 TECHNOLOGY DRIVE SUITE A
    BUTLER, PA
    ZIP 16001
  • Facility Phone: 724 482-0159
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL J. WAHL MD
  • NPI Number: 1649299603
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D1059573
LAB Type Physician Office
Facility Name WAHL FAMILY PRACTICE PC
Street 109 TECHNOLOGY DRIVE SUITE A
City BUTLER
State PA
ZIP 16001
Phone 724 482-0159
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2024
Certificate Expiration Date 10/2/2026
Facility Type Physician Office
Lab Director DR. MICHAEL J. WAHL MD

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