39D1080409 CLIA NUMBER - ALTOONA COMMUNITY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 39D1080409
  • Facility Name: ALTOONA COMMUNITY HEALTH CENTER
  • Facility Address: 1701 12TH AVENUE, SUITE F
    ALTOONA, PA
    ZIP 16601
  • Facility Phone: 814 942-9600
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. LORI K. TROUT
  • NPI Number: 1053580886
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D1080409
LAB Type Federally Qualified Health Center
Facility Name ALTOONA COMMUNITY HEALTH CENTER
Street 1701 12TH AVENUE, SUITE F
City ALTOONA
State PA
ZIP 16601
Phone 814 942-9600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2024
Certificate Expiration Date 2/21/2026
Facility Type Federally Qualified Health Center
Lab Director DR. LORI K. TROUT

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