39D2082618 CLIA NUMBER - IPG-SPEC OFFICE-HMI BLDG

Laboratory Demographics

  • CLIA Code: 39D2082618
  • Facility Name: IPG-SPEC OFFICE-HMI BLDG
  • Facility Address: 120 IRMC DRIVE, SUITE 120
    INDIANA, PA
    ZIP 15701
  • Facility Phone: 724 357-7234
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. PATRICK R. SHANNON
  • NPI Number: 1700826690
  • Taxonomy: 207QS0010X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2082618
LAB Type Physician Office
Facility Name IPG-SPEC OFFICE-HMI BLDG
Street 120 IRMC DRIVE, SUITE 120
City INDIANA
State PA
ZIP 15701
Phone 724 357-7234
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/19/2024
Certificate Expiration Date 8/18/2026
Facility Type Physician Office
Lab Director DR. PATRICK R. SHANNON

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