39D2148729 CLIA NUMBER - PEDICINO PRIMARY CARE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 39D2148729
  • Facility Name: PEDICINO PRIMARY CARE ASSOCIATES
  • Facility Address: 1650 HUNTINDGON PIKE #315
    MEADOWBROOK, PA
    ZIP 19046
  • Facility Phone: 215 947-8170
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ALEXANDER R. PEDICINO
  • NPI Number: 1447606421
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2148729
LAB Type Physician Office
Facility Name PEDICINO PRIMARY CARE ASSOCIATES
Street 1650 HUNTINDGON PIKE #315
City MEADOWBROOK
State PA
ZIP 19046
Phone 215 947-8170
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2024
Certificate Expiration Date 5/16/2026
Facility Type Physician Office
Lab Director DR. ALEXANDER R. PEDICINO

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