39D1096074 CLIA NUMBER - MEDEXPRESS URGENT CARE MONACA

Laboratory Demographics

CLIA Number: 39D1096074

Facility Name: MEDEXPRESS URGENT CARE MONACA

Facility Address:
3944 BRODHEAD RD SUITE 7B
MONACA, PA
ZIP 15061
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Facility Phone Number: 724 773-0777

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1801040092

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	39D1096074
LAB Type	Physician Office
Facility Name	MEDEXPRESS URGENT CARE MONACA
Street	3944 BRODHEAD RD SUITE 7B
City	MONACA
State	PA
ZIP	15061
Phone	724 773-0777
CertificateType	4
CertificateEffectiveDate	2/25/2023
CertificateExpirationDate	2/24/2025
FacilityType	Waiver

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