39D2097508 CLIA NUMBER - CONEWAGO INDIANA

Laboratory Demographics

  • CLIA Code: 39D2097508
  • Facility Name: CONEWAGO INDIANA
  • Facility Address: 1943 ROUTE 119 S
    BLAIRSVILLE, PA
    ZIP 15717
  • Facility Phone: 724 471-3037
  • Facility Type: Other - D & A INPATIENT TREATMENT
  • Facility Type: Waiver
  • Lab Director: DR. JOHN W. STEFOVIC
  • NPI Number: 1063717064
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D2097508
LAB Type Other - D & A INPATIENT TREATMENT
Facility Name CONEWAGO INDIANA
Street 1943 ROUTE 119 S
City BLAIRSVILLE
State PA
ZIP 15717
Phone 724 471-3037
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2025
Certificate Expiration Date 6/16/2027
Facility Type Other - D & A INPATIENT TREATMENT
Lab Director DR. JOHN W. STEFOVIC

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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