39D2134671 CLIA NUMBER - CENCLEAR

Laboratory Demographics

  • CLIA Code: 39D2134671
  • Facility Name: CENCLEAR
  • Facility Address: 627 WOOD STREET
    CLARION, PA
    ZIP 16214
  • Facility Phone: 814 938-6340
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. PHILIP J. STATES
  • NPI Number: 1164952677
  • Taxonomy: 261QC1500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2134671
LAB Type Community Clinic
Facility Name CENCLEAR
Street 627 WOOD STREET
City CLARION
State PA
ZIP 16214
Phone 814 938-6340
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2025
Certificate Expiration Date 8/7/2027
Facility Type Community Clinic
Lab Director DR. PHILIP J. STATES

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