39D2087338 CLIA NUMBER - MEDEXPRESS URGENT CARE WAYNESBURG MURTHA DR

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Laboratory Demographics

CLIA Number: 39D2087338

Facility Name: MEDEXPRESS URGENT CARE WAYNESBURG MURTHA DR

Facility Address:
451 MURTHA DRIVE, SUITE 102
WAYNESBURG, PA
ZIP 15370
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Facility Phone Number: 724 852-6391

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1083017404

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	39D2087338
LAB Type	Physician Office
Facility Name	MEDEXPRESS URGENT CARE WAYNESBURG MURTHA DR
Street	451 MURTHA DRIVE, SUITE 102
City	WAYNESBURG
State	PA
ZIP	15370
Phone	724 852-6391
CertificateType	4
CertificateEffectiveDate	11/21/2022
CertificateExpirationDate	11/20/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024