39D2154635 CLIA NUMBER - SAFE HARBOR BEHAVIORAL HEALTH OF UPMC HAMOT

Laboratory Demographics

  • CLIA Code: 39D2154635
  • Facility Name: SAFE HARBOR BEHAVIORAL HEALTH OF UPMC HAMOT
  • Facility Address: 1330 WEST 26TH ST
    ERIE, PA
    ZIP 16508
  • Facility Phone: 814 459-9300
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. ANTONIO S. SIMORA
  • NPI Number: 1891956801
  • Taxonomy: 252Y00000X - Early Intervention Provider Agency

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CLIA Record

Field Name Field Value
CLIA Number 39D2154635
LAB Type Community Clinic
Facility Name SAFE HARBOR BEHAVIORAL HEALTH OF UPMC HAMOT
Street 1330 WEST 26TH ST
City ERIE
State PA
ZIP 16508
Phone 814 459-9300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2024
Certificate Expiration Date 9/16/2026
Facility Type Community Clinic
Lab Director DR. ANTONIO S. SIMORA

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