39D2103005 CLIA NUMBER - ICARE MEDICAL LLC

Laboratory Demographics

  • CLIA Code: 39D2103005
  • Facility Name: ICARE MEDICAL LLC
  • Facility Address: 167 ZEMAN DRIVE
    EBENSBURG, PA
    ZIP 15931
  • Facility Phone: 814 472-9119
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: DR. SAFOUH MALHIS MD
  • NPI Number: 1912290008
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2103005
LAB Type Other - URGENT CARE
Facility Name ICARE MEDICAL LLC
Street 167 ZEMAN DRIVE
City EBENSBURG
State PA
ZIP 15931
Phone 814 472-9119
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2025
Certificate Expiration Date 10/4/2027
Facility Type Other - URGENT CARE
Lab Director DR. SAFOUH MALHIS MD

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