39D1062501 CLIA NUMBER - ST LUKE'S ASHLAND FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 39D1062501
  • Facility Name: ST LUKE'S ASHLAND FAMILY PRACTICE
  • Facility Address: 530 CENTRE STREET
    ASHLAND, PA
    ZIP 17921
  • Facility Phone: 570 645-1670
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. GREGORY C. DOBASH
  • NPI Number: 1134487119
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D1062501
LAB Type Physician Office
Facility Name ST LUKE'S ASHLAND FAMILY PRACTICE
Street 530 CENTRE STREET
City ASHLAND
State PA
ZIP 17921
Phone 570 645-1670
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2024
Certificate Expiration Date 7/8/2026
Facility Type Physician Office
Lab Director DR. GREGORY C. DOBASH

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