39D2177020 CLIA NUMBER - CENTERVILLE CLINICS - WASHINGTON CITY MISSION

Laboratory Demographics

  • CLIA Code: 39D2177020
  • Facility Name: CENTERVILLE CLINICS - WASHINGTON CITY MISSION
  • Facility Address: 84 W WHEELING STREET
    WASHINGTON, PA
    ZIP 15301
  • Facility Phone: 724 222-3510
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DANIEL L. HOLT
  • NPI Number: 1629246780
  • Taxonomy: 174400000X - Specialist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D2177020
LAB Type Physician Office
Facility Name CENTERVILLE CLINICS - WASHINGTON CITY MISSION
Street 84 W WHEELING STREET
City WASHINGTON
State PA
ZIP 15301
Phone 724 222-3510
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. DANIEL L. HOLT

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