39D2080964 CLIA NUMBER - JAY E ENDRES MD PC

Laboratory Demographics

  • CLIA Code: 39D2080964
  • Facility Name: JAY E ENDRES MD PC
  • Facility Address: 12 ELM ST
    WARREN, PA
    ZIP 16365
  • Facility Phone: 814 723-3520
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JAY E. ENDRES MD
  • NPI Number: 1073581948
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2080964
LAB Type Physician Office
Facility Name JAY E ENDRES MD PC
Street 12 ELM ST
City WARREN
State PA
ZIP 16365
Phone 814 723-3520
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2024
Certificate Expiration Date 7/16/2026
Facility Type Physician Office
Lab Director DR. JAY E. ENDRES MD

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