39D2051131 CLIA NUMBER - WAYNESBURG UNIVERSITY STUDENT HEALTH

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Laboratory Demographics

CLIA Number: 39D2051131

Facility Name: WAYNESBURG UNIVERSITY STUDENT HEALTH

Facility Address:
61 NORTH WASHINGTON STREET
WAYNESBURG, PA
ZIP 15370
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Facility Phone Number: 724 852-3332

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1710268545

Taxonomy: 261QA0600X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	39D2051131
LAB Type	School/Student Health Service
Facility Name	WAYNESBURG UNIVERSITY STUDENT HEALTH
Street	61 NORTH WASHINGTON STREET
City	WAYNESBURG
State	PA
ZIP	15370
Phone	724 852-3332
CertificateType	4
CertificateEffectiveDate	12/13/2022
CertificateExpirationDate	12/12/2024
FacilityType	Waiver

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