39D2169689 CLIA NUMBER - WARREN GENERAL HOSPITAL RHC WALK IN CARE

Laboratory Demographics

  • CLIA Code: 39D2169689
  • Facility Name: WARREN GENERAL HOSPITAL RHC WALK IN CARE
  • Facility Address: 2817 MARKET STREET
    WARREN, PA
    ZIP 16365
  • Facility Phone: 814 723-3794
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MASON TOOTELL
  • NPI Number: 1407679426
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2169689
LAB Type Physician Office
Facility Name WARREN GENERAL HOSPITAL RHC WALK IN CARE
Street 2817 MARKET STREET
City WARREN
State PA
ZIP 16365
Phone 814 723-3794
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2025
Certificate Expiration Date 7/24/2027
Facility Type Physician Office
Lab Director DR. MASON TOOTELL

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