39D2106212 CLIA NUMBER - BASH FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 39D2106212
  • Facility Name: BASH FAMILY PRACTICE
  • Facility Address: 206 S DUFFY RD
    BUTLER, PA
    ZIP 16001
  • Facility Phone: 724 285-1988
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. FOZIA F. CHATTA
  • NPI Number: 1629449996
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2106212
LAB Type Physician Office
Facility Name BASH FAMILY PRACTICE
Street 206 S DUFFY RD
City BUTLER
State PA
ZIP 16001
Phone 724 285-1988
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2023
Certificate Expiration Date 12/13/2025
Facility Type Physician Office
Lab Director DR. FOZIA F. CHATTA

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