39D2170145 CLIA NUMBER - MAGNOLIA NETWORKS LLC

Laboratory Demographics

  • CLIA Code: 39D2170145
  • Facility Name: MAGNOLIA NETWORKS LLC
  • Facility Address: 451 WASHINGTON AVE
    BRIDGEVILLE, PA
    ZIP 15017
  • Facility Phone: 724 387-2455
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SCOTT A. COOK
  • NPI Number: 1053774422
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D2170145
LAB Type Physician Office
Facility Name MAGNOLIA NETWORKS LLC
Street 451 WASHINGTON AVE
City BRIDGEVILLE
State PA
ZIP 15017
Phone 724 387-2455
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2025
Certificate Expiration Date 8/4/2027
Facility Type Physician Office
Lab Director DR. SCOTT A. COOK

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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