39D2081180 CLIA NUMBER - CJPCA PUNXSUTAWNEY

Laboratory Demographics

  • CLIA Code: 39D2081180
  • Facility Name: CJPCA PUNXSUTAWNEY
  • Facility Address: 1464 N MAIN STREET
    PUNXSUTAWNEY, PA
    ZIP 15767
  • Facility Phone: 814 503-8070
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. BRANDON M. ROSCOE
  • NPI Number: 1649391087
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2081180
LAB Type Physician Office
Facility Name CJPCA PUNXSUTAWNEY
Street 1464 N MAIN STREET
City PUNXSUTAWNEY
State PA
ZIP 15767
Phone 814 503-8070
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/5/2024
Certificate Expiration Date 10/4/2026
Facility Type Physician Office
Lab Director DR. BRANDON M. ROSCOE

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