39D2038702 CLIA NUMBER - WARREN COUNTY CLINIC

Laboratory Demographics

  • CLIA Code: 39D2038702
  • Facility Name: WARREN COUNTY CLINIC
  • Facility Address: 3 FARM COLONY DRIVE
    WARREN, PA
    ZIP 16365
  • Facility Phone: 814 860-2176
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: IRENE IBANEZ-MANLAPAZ
  • NPI Number: 1396780730
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 39D2038702
LAB Type Community Clinic
Facility Name WARREN COUNTY CLINIC
Street 3 FARM COLONY DRIVE
City WARREN
State PA
ZIP 16365
Phone 814 860-2176
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/23/2012
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director IRENE IBANEZ-MANLAPAZ

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