39D2171115 CLIA NUMBER - PRIMARY HEALTH NETWORK ELLWOOD CITY PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 39D2171115
  • Facility Name: PRIMARY HEALTH NETWORK ELLWOOD CITY PRIMARY CARE
  • Facility Address: 304 EVANS DRIVE, SUITE 401
    ELLWOOD CITY, PA
    ZIP 16117
  • Facility Phone: 724 824-8185
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. BETH A. MAGNIFICO
  • NPI Number: 1184289555
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2171115
LAB Type Federally Qualified Health Center
Facility Name PRIMARY HEALTH NETWORK ELLWOOD CITY PRIMARY CARE
Street 304 EVANS DRIVE, SUITE 401
City ELLWOOD CITY
State PA
ZIP 16117
Phone 724 824-8185
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2025
Certificate Expiration Date 8/26/2027
Facility Type Federally Qualified Health Center
Lab Director DR. BETH A. MAGNIFICO

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