39D2121199 CLIA NUMBER - BHS DERM ASSOC, CHAD HENDRICKSON

Laboratory Demographics

  • CLIA Code: 39D2121199
  • Facility Name: BHS DERM ASSOC, CHAD HENDRICKSON
  • Facility Address: 219 WEST FAIRMONT AVE
    NEW CASTLE, PA
    ZIP 16105
  • Facility Phone: 833 604-7212
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. CHAD S. HENDRICKSON
  • NPI Number: 1841625696
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 39D2121199
LAB Type Physician Office
Facility Name BHS DERM ASSOC, CHAD HENDRICKSON
Street 219 WEST FAIRMONT AVE
City NEW CASTLE
State PA
ZIP 16105
Phone 833 604-7212
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Physician Office
Lab Director DR. CHAD S. HENDRICKSON

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