39D2178628 CLIA NUMBER - WAYNESBURG CENTERVILLE

Laboratory Demographics

  • CLIA Code: 39D2178628
  • Facility Name: WAYNESBURG CENTERVILLE
  • Facility Address: 1150 SEVENTH STREET
    WAYNESBURG, PA
    ZIP 15370
  • Facility Phone: 724 627-8243
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. PRAFULLCHANDRA D. VORA
  • NPI Number: 1851570055
  • Taxonomy: 246Z00000X - Specialist/Technologist, Other

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CLIA Record

Field Name Field Value
CLIA Number 39D2178628
LAB Type Physician Office
Facility Name WAYNESBURG CENTERVILLE
Street 1150 SEVENTH STREET
City WAYNESBURG
State PA
ZIP 15370
Phone 724 627-8243
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2024
Certificate Expiration Date 2/5/2026
Facility Type Physician Office
Lab Director DR. PRAFULLCHANDRA D. VORA

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