39D2000625 CLIA NUMBER - GREENVILLE COMMUNITY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 39D2000625
  • Facility Name: GREENVILLE COMMUNITY HEALTH CENTER
  • Facility Address: 348 MAIN STREET
    GREENVILLE, PA
    ZIP 16125
  • Facility Phone: 724 588-5250
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. LYNNE M. JOHNSON
  • NPI Number: 1043672355
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 39D2000625
LAB Type Federally Qualified Health Center
Facility Name GREENVILLE COMMUNITY HEALTH CENTER
Street 348 MAIN STREET
City GREENVILLE
State PA
ZIP 16125
Phone 724 588-5250
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2024
Certificate Expiration Date 1/18/2026
Facility Type Federally Qualified Health Center
Lab Director DR. LYNNE M. JOHNSON

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