39D1089387 CLIA NUMBER - CHILDRENS COMM PEDS SLIPPERY ROCK

Laboratory Demographics

  • CLIA Code: 39D1089387
  • Facility Name: CHILDRENS COMM PEDS SLIPPERY ROCK
  • Facility Address: 202 SPRUCE DRIVE
    SLIPPERY ROCK, PA
    ZIP 16057
  • Facility Phone: 724 794-4999
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DAVID W. HEFNER
  • NPI Number: 1154849461
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 39D1089387
LAB Type Physician Office
Facility Name CHILDRENS COMM PEDS SLIPPERY ROCK
Street 202 SPRUCE DRIVE
City SLIPPERY ROCK
State PA
ZIP 16057
Phone 724 794-4999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2024
Certificate Expiration Date 9/16/2026
Facility Type Physician Office
Lab Director DR. DAVID W. HEFNER

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