39D2083227 CLIA NUMBER - CHILDREN'S COMMUNITY PEDIATRICS MT PLEASANT

Laboratory Demographics

  • CLIA Code: 39D2083227
  • Facility Name: CHILDREN'S COMMUNITY PEDIATRICS MT PLEASANT
  • Facility Address: ONE BRADDOCK ROAD AVENUE
    MOUNT PLEASANT, PA
    ZIP 15666
  • Facility Phone: 724 547-5103
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. VUKELIC M. VALARIE
  • NPI Number: 1457778086
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 39D2083227
LAB Type Physician Office
Facility Name CHILDREN'S COMMUNITY PEDIATRICS MT PLEASANT
Street ONE BRADDOCK ROAD AVENUE
City MOUNT PLEASANT
State PA
ZIP 15666
Phone 724 547-5103
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2024
Certificate Expiration Date 9/1/2026
Facility Type Physician Office
Lab Director DR. VUKELIC M. VALARIE

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