39D2057649 CLIA NUMBER - HUNTINGDON FAMILY CARE CENTER

Laboratory Demographics

  • CLIA Code: 39D2057649
  • Facility Name: HUNTINGDON FAMILY CARE CENTER
  • Facility Address: 835 WASHINGTON ST
    HUNTINGDON, PA
    ZIP 16652
  • Facility Phone: 814 506-8114
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. GREGOR S. THEBAUD
  • NPI Number: 1679564850
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 39D2057649
LAB Type Physician Office
Facility Name HUNTINGDON FAMILY CARE CENTER
Street 835 WASHINGTON ST
City HUNTINGDON
State PA
ZIP 16652
Phone 814 506-8114
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2025
Certificate Expiration Date 4/21/2027
Facility Type Physician Office
Lab Director DR. GREGOR S. THEBAUD

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