39D2177005 CLIA NUMBER - UPMC COLE NEPHROLOGY

Laboratory Demographics

  • CLIA Code: 39D2177005
  • Facility Name: UPMC COLE NEPHROLOGY
  • Facility Address: 1001 E 2ND STREET STE E
    COUDERSPORT, PA
    ZIP 16915
  • Facility Phone: 814 274-7407
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MHD A. ZEIN
  • NPI Number: 1326161662
  • Taxonomy: 282NC0060X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 39D2177005
LAB Type Physician Office
Facility Name UPMC COLE NEPHROLOGY
Street 1001 E 2ND STREET STE E
City COUDERSPORT
State PA
ZIP 16915
Phone 814 274-7407
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/2/2024
Certificate Expiration Date 1/1/2026
Facility Type Physician Office
Lab Director DR. MHD A. ZEIN

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This page was last updated on: 6/4/2025