39D2057182 CLIA NUMBER - MONTGOMERY MEDICAL INC

Laboratory Demographics

  • CLIA Code: 39D2057182
  • Facility Name: MONTGOMERY MEDICAL INC
  • Facility Address: 105 LAUREL VIEW DRIVE
    SMITHFIELD, PA
    ZIP 15478
  • Facility Phone: 724 569-8100
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. MARCY J. GOISSE
  • NPI Number: 1821336868
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2057182
LAB Type Physician Office
Facility Name MONTGOMERY MEDICAL INC
Street 105 LAUREL VIEW DRIVE
City SMITHFIELD
State PA
ZIP 15478
Phone 724 569-8100
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/11/2025
Certificate Expiration Date 3/10/2027
Facility Type Physician Office
Lab Director DR. MARCY J. GOISSE

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