39D2091185 CLIA NUMBER - ST JOSEPH INSTITUTE

Laboratory Demographics

  • CLIA Code: 39D2091185
  • Facility Name: ST JOSEPH INSTITUTE
  • Facility Address: 134 JACOBS WAY
    PORT MATILDA, PA
    ZIP 16870
  • Facility Phone: (814) 692-4954
  • Facility Type: Other - RES ADDICTION TREATMENT
  • Facility Type: Waiver
  • Lab Director: DR. BRANDON M. ROSCOE
  • NPI Number: 1063732717
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D2091185
LAB Type Other - RES ADDICTION TREATMENT
Facility Name ST JOSEPH INSTITUTE
Street 134 JACOBS WAY
City PORT MATILDA
State PA
ZIP 16870
Phone 8146924954
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Other - RES ADDICTION TREATMENT
Lab Director DR. BRANDON M. ROSCOE

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This page was last updated on: 6/29/2026