39D2039541 CLIA NUMBER - ST CLAIR MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 39D2039541
  • Facility Name: ST CLAIR MEDICAL GROUP
  • Facility Address: 3928 WASHINGTON ROAD SUITE 110
    MCMURRAY, PA
    ZIP 15317
  • Facility Phone: 724 731-0090
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. NICHOLAS P. DITULLIO
  • NPI Number: 1821249160
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2039541
LAB Type Physician Office
Facility Name ST CLAIR MEDICAL GROUP
Street 3928 WASHINGTON ROAD SUITE 110
City MCMURRAY
State PA
ZIP 15317
Phone 724 731-0090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2024
Certificate Expiration Date 4/11/2026
Facility Type Physician Office
Lab Director DR. NICHOLAS P. DITULLIO

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