39D2073920 CLIA NUMBER - MONROEVILLE AMBULATORY SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 39D2073920
  • Facility Name: MONROEVILLE AMBULATORY SURGERY CENTER LLC
  • Facility Address: 4121 MONROEVILLE BLVD
    MONROEVILLE, PA
    ZIP 15146
  • Facility Phone: 412 380-5161
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. FRANK J. COSTA
  • NPI Number: 1689146227
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 39D2073920
LAB Type Ambulatory Surgery Center
Facility Name MONROEVILLE AMBULATORY SURGERY CENTER LLC
Street 4121 MONROEVILLE BLVD
City MONROEVILLE
State PA
ZIP 15146
Phone 412 380-5161
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2024
Certificate Expiration Date 2/25/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. FRANK J. COSTA

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