39D2052561 CLIA NUMBER - CLARION COMMUNITY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 39D2052561
  • Facility Name: CLARION COMMUNITY HEALTH CENTER
  • Facility Address: 30 PINNACLE DRIVE, SUITE 101
    CLARION, PA
    ZIP 16214
  • Facility Phone: 814 223-9900
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. TIMOTHY M. FULLERTON
  • NPI Number: 1992060446
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2052561
LAB Type Federally Qualified Health Center
Facility Name CLARION COMMUNITY HEALTH CENTER
Street 30 PINNACLE DRIVE, SUITE 101
City CLARION
State PA
ZIP 16214
Phone 814 223-9900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2025
Certificate Expiration Date 1/13/2027
Facility Type Federally Qualified Health Center
Lab Director DR. TIMOTHY M. FULLERTON

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