39D2040805 CLIA NUMBER - HUTTON HEALTHCARE SERVICES LLC

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Laboratory Demographics

CLIA Number: 39D2040805

Facility Name: HUTTON HEALTHCARE SERVICES LLC

Facility Address:
1121 BOYCE RD, SUITE 200
PITTSBURGH, PA
ZIP 15241
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Facility Phone Number: 412 257-5900

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1740543438

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	39D2040805
LAB Type	Physician Office
Facility Name	HUTTON HEALTHCARE SERVICES LLC
Street	1121 BOYCE RD, SUITE 200
City	PITTSBURGH
State	PA
ZIP	15241
Phone	412 257-5900
CertificateType	4
CertificateEffectiveDate	5/10/2022
CertificateExpirationDate	5/9/2024
FacilityType	Waiver

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