39D2035998 CLIA NUMBER - MEDEXPRESS URGENT CARE-LATROBE

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Laboratory Demographics

CLIA Number: 39D2035998

Facility Name: MEDEXPRESS URGENT CARE-LATROBE

Facility Address:
3876 ROUTE 30
LATROBE, PA
ZIP 15650
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Facility Phone Number: 724 537-5064

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1063793685

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	39D2035998
LAB Type	Physician Office
Facility Name	MEDEXPRESS URGENT CARE-LATROBE
Street	3876 ROUTE 30
City	LATROBE
State	PA
ZIP	15650
Phone	724 537-5064
CertificateType	4
CertificateEffectiveDate	1/30/2024
CertificateExpirationDate	1/29/2026
FacilityType	Waiver

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