39D2144770 CLIA NUMBER - OVERLOOK GREEN

Laboratory Demographics

  • CLIA Code: 39D2144770
  • Facility Name: OVERLOOK GREEN
  • Facility Address: 5250 MEADOWGREEN DRIVE
    PITTSBURGH, PA
    ZIP 15236
  • Facility Phone: 412 881-8300
  • Facility Type: Other - PERSONAL CARE HOME
  • Facility Type: Waiver
  • Lab Director: DR. TIMOTHY L. JACKSON
  • NPI Number: 1306880018
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D2144770
LAB Type Other - PERSONAL CARE HOME
Facility Name OVERLOOK GREEN
Street 5250 MEADOWGREEN DRIVE
City PITTSBURGH
State PA
ZIP 15236
Phone 412 881-8300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2024
Certificate Expiration Date 12/28/2026
Facility Type Other - PERSONAL CARE HOME
Lab Director DR. TIMOTHY L. JACKSON

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