39D1103818 CLIA NUMBER - FRANKLIN PK FAMILY PRAC-WEXFORD

Laboratory Demographics

  • CLIA Code: 39D1103818
  • Facility Name: FRANKLIN PK FAMILY PRAC-WEXFORD
  • Facility Address: 11360 PERRY HIGHWAY
    WEXFORD, PA
    ZIP 15090
  • Facility Phone: 724 935-4700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KRISTINA M. AZAR
  • NPI Number: 1942674569
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D1103818
LAB Type Physician Office
Facility Name FRANKLIN PK FAMILY PRAC-WEXFORD
Street 11360 PERRY HIGHWAY
City WEXFORD
State PA
ZIP 15090
Phone 724 935-4700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2025
Certificate Expiration Date 8/18/2027
Facility Type Physician Office
Lab Director DR. KRISTINA M. AZAR

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