39D2064056 CLIA NUMBER - MON VALE PRIMARY CARE PHYSICIANS

Laboratory Demographics

  • CLIA Code: 39D2064056
  • Facility Name: MON VALE PRIMARY CARE PHYSICIANS
  • Facility Address: 6108 BROWNSVILLE ROAD EXT SUITE 204
    FINLEYVILLE, PA
    ZIP 15332
  • Facility Phone: 814 375-4897
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. THOMAS M. SISK
  • NPI Number: 1013201466
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 39D2064056
LAB Type Physician Office
Facility Name MON VALE PRIMARY CARE PHYSICIANS
Street 6108 BROWNSVILLE ROAD EXT SUITE 204
City FINLEYVILLE
State PA
ZIP 15332
Phone 814 375-4897
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Physician Office
Lab Director DR. THOMAS M. SISK

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