39D1088496 CLIA NUMBER - LIFE BUTLER COUNTY

Laboratory Demographics

CLIA Code: 39D1088496
Facility Name: LIFE BUTLER COUNTY
Facility Address: 231 WEST DIAMOND STREET
BUTLER, PA
ZIP 16001
Facility Phone: 724 287-5433
Facility Type: Other
Facility Type: Waiver
Lab Director: ABEER HANNA
NPI Number: 1710182647
Taxonomy: 251T00000X - Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

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CLIA Record

Field Name	Field Value
CLIA Number	39D1088496
LAB Type	Other
Facility Name	LIFE BUTLER COUNTY
Street	231 WEST DIAMOND STREET
City	BUTLER
State	PA
ZIP	16001
Phone	724 287-5433
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	8/27/2024
Certificate Expiration Date	8/26/2026
Facility Type	Other
Lab Director	ABEER HANNA

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