39D1090185 CLIA NUMBER - MEDWELL

Laboratory Demographics

  • CLIA Code: 39D1090185
  • Facility Name: MEDWELL
  • Facility Address: 1450 SCALP AVENUE SUITE 1000
    JOHNSTOWN, PA
    ZIP 15904
  • Facility Phone: 814 269-5200
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DR. TERESA B. MALEC
  • NPI Number: 1124287727
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D1090185
LAB Type Other
Facility Name MEDWELL
Street 1450 SCALP AVENUE SUITE 1000
City JOHNSTOWN
State PA
ZIP 15904
Phone 814 269-5200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2024
Certificate Expiration Date 10/5/2026
Facility Type Other
Lab Director DR. TERESA B. MALEC

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This page was last updated on: 6/4/2025