39D2177019 CLIA NUMBER - LIEB FAMILY PRACTICE, INC

Laboratory Demographics

  • CLIA Code: 39D2177019
  • Facility Name: LIEB FAMILY PRACTICE, INC
  • Facility Address: 188 INDUSTRIAL PARK ROAD
    EBENSBURG, PA
    ZIP 15931
  • Facility Phone: 814 472-5900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BRIAN E. LIEB
  • NPI Number: 1104482587
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2177019
LAB Type Physician Office
Facility Name LIEB FAMILY PRACTICE, INC
Street 188 INDUSTRIAL PARK ROAD
City EBENSBURG
State PA
ZIP 15931
Phone 814 472-5900
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. BRIAN E. LIEB

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