39D2115974 CLIA NUMBER - ST CLAIR MEDICAL SERVICES

Laboratory Demographics

  • CLIA Code: 39D2115974
  • Facility Name: ST CLAIR MEDICAL SERVICES
  • Facility Address: 5301 GROVE ROAD #631
    PITTSBURGH, PA
    ZIP 15236
  • Facility Phone: 412 563-5560
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ANTONIO M. RICCELLI
  • NPI Number: 1871519850
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2115974
LAB Type Physician Office
Facility Name ST CLAIR MEDICAL SERVICES
Street 5301 GROVE ROAD #631
City PITTSBURGH
State PA
ZIP 15236
Phone 412 563-5560
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2024
Certificate Expiration Date 7/15/2026
Facility Type Physician Office
Lab Director DR. ANTONIO M. RICCELLI

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