39D1075710 CLIA NUMBER - UPMC HORIZON CTR FOR WOUND TREATMENT & HYPER MED

Laboratory Demographics

  • CLIA Code: 39D1075710
  • Facility Name: UPMC HORIZON CTR FOR WOUND TREATMENT & HYPER MED
  • Facility Address: SHENANGO VALLEY CAMPUS PARK MEDICAL BLDG 2120 LIKENS LANE
    FARRELL, PA
    ZIP 16121
  • Facility Phone: 724 983-7970
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: DR. MARCIA PETRICK MD
  • NPI Number: 1386024081
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 39D1075710
LAB Type Ancillary Testing Site in Health Care Center
Facility Name UPMC HORIZON CTR FOR WOUND TREATMENT & HYPER MED
Street SHENANGO VALLEY CAMPUS PARK MEDICAL BLDG 2120 LIKENS LANE
City FARRELL
State PA
ZIP 16121
Phone 724 983-7970
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DR. MARCIA PETRICK MD

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