39D2148358 CLIA NUMBER - WALK IN CLINIC

Laboratory Demographics

CLIA Number: 39D2148358

Facility Name: WALK IN CLINIC

Facility Address:
6674 TOWNE CENTER BLVD
HUNTINGDON, PA
ZIP 16652
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Facility Phone Number: 814 635-2916

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1649769589

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	39D2148358
LAB Type	Federally Qualified Health Center
Facility Name	WALK IN CLINIC
Street	6674 TOWNE CENTER BLVD
City	HUNTINGDON
State	PA
ZIP	16652
Phone	814 635-2916
CertificateType	4
CertificateEffectiveDate	5/9/2022
CertificateExpirationDate	5/8/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024