39D1088494 CLIA NUMBER - TMA VASCULAR ACCESS CENTER

Laboratory Demographics

CLIA Number: 39D1088494

Facility Name: TMA VASCULAR ACCESS CENTER

Facility Address:
COLLIER TOWN SQUARE UNIT A-14 1597 WASHINGTON PIKE
BRIDGEVILLE, PA
ZIP 15017
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Facility Phone Number: 412 276-9030

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1881250652

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	39D1088494
LAB Type	Physician Office
Facility Name	TMA VASCULAR ACCESS CENTER
Street	COLLIER TOWN SQUARE UNIT A-14 1597 WASHINGTON PIKE
City	BRIDGEVILLE
State	PA
ZIP	15017
Phone	412 276-9030
CertificateType	4
CertificateEffectiveDate	8/27/2022
CertificateExpirationDate	8/26/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024