39D2175480 CLIA NUMBER - CORNERSTONE COORDINATED HEALTH CARE, LLC

Laboratory Demographics

CLIA Number: 39D2175480

Facility Name: CORNERSTONE COORDINATED HEALTH CARE, LLC

Facility Address:
2114 CENTRE STREET
ASHLAND, PA
ZIP 17921
Get Directions

Facility Phone Number: 570 794-6123

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1174176796

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	39D2175480
LAB Type	Physician Office
Facility Name	CORNERSTONE COORDINATED HEALTH CARE, LLC
Street	2114 CENTRE STREET
City	ASHLAND
State	PA
ZIP	17921
Phone	570 794-6123
CertificateType	4
CertificateEffectiveDate	11/21/2023
CertificateExpirationDate	11/20/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024