39D2125508 CLIA NUMBER - TADISO INCORPORATED

Laboratory Demographics

  • CLIA Code: 39D2125508
  • Facility Name: TADISO INCORPORATED
  • Facility Address: 1425 BEAVER AVE
    PITTSBURGH, PA
    ZIP 15233
  • Facility Phone: 412 322-8415
  • Facility Type: Other - MOBILE MED ASSISTED TX
  • Facility Type: Waiver
  • Lab Director: DR. RAISSA BERRY
  • NPI Number: 1124194501
  • Taxonomy: 251V00000X - Voluntary or Charitable

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CLIA Record

Field Name Field Value
CLIA Number 39D2125508
LAB Type Other - MOBILE MED ASSISTED TX
Facility Name TADISO INCORPORATED
Street 1425 BEAVER AVE
City PITTSBURGH
State PA
ZIP 15233
Phone 412 322-8415
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2025
Certificate Expiration Date 2/7/2027
Facility Type Other - MOBILE MED ASSISTED TX
Lab Director DR. RAISSA BERRY

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