39D2006636 CLIA NUMBER - PHD OCC HEALTH RIDGWAY

Laboratory Demographics

  • CLIA Code: 39D2006636
  • Facility Name: PHD OCC HEALTH RIDGWAY
  • Facility Address: 250 WEST MAIN ST
    RIDGWAY, PA
    ZIP 15853
  • Facility Phone: 814 788-8819
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. GEORGE D. CASTELLANO
  • NPI Number: 1619347986
  • Taxonomy: 261QR0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2006636
LAB Type Physician Office
Facility Name PHD OCC HEALTH RIDGWAY
Street 250 WEST MAIN ST
City RIDGWAY
State PA
ZIP 15853
Phone 814 788-8819
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2024
Certificate Expiration Date 4/26/2026
Facility Type Physician Office
Lab Director DR. GEORGE D. CASTELLANO

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