39D1088877 CLIA NUMBER - SAINT VINCENT ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 39D1088877
  • Facility Name: SAINT VINCENT ENDOSCOPY CENTER
  • Facility Address: 2501 WEST 12TH STREET SUITE 8
    ERIE, PA
    ZIP 16505
  • Facility Phone: 814 833-0071
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. SEGUN ABOGUNDE MD
  • NPI Number: 1669647210
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D1088877
LAB Type Ambulatory Surgery Center
Facility Name SAINT VINCENT ENDOSCOPY CENTER
Street 2501 WEST 12TH STREET SUITE 8
City ERIE
State PA
ZIP 16505
Phone 814 833-0071
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2024
Certificate Expiration Date 9/7/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. SEGUN ABOGUNDE MD

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