39D2109573 CLIA NUMBER - GIRARD SCHOOL BASED HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 39D2109573
  • Facility Name: GIRARD SCHOOL BASED HEALTH CENTER
  • Facility Address: 1135 LAKE STREET
    GIRARD, PA
    ZIP 16417
  • Facility Phone: 814 774-3155
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. ANTHONY R. IGNOCHECK
  • NPI Number: 1992185458
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2109573
LAB Type Federally Qualified Health Center
Facility Name GIRARD SCHOOL BASED HEALTH CENTER
Street 1135 LAKE STREET
City GIRARD
State PA
ZIP 16417
Phone 814 774-3155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/29/2024
Certificate Expiration Date 2/27/2026
Facility Type Federally Qualified Health Center
Lab Director DR. ANTHONY R. IGNOCHECK

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