39D2179400 CLIA NUMBER - AHN PRIMARY CARE BUTLER

Laboratory Demographics

  • CLIA Code: 39D2179400
  • Facility Name: AHN PRIMARY CARE BUTLER
  • Facility Address: 103 TECHNOLOGY DRIVE
    BUTLER, PA
    ZIP 16001
  • Facility Phone: 412 482-0176
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SUNJAY K. MANNAN
  • NPI Number: 1194347104
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2179400
LAB Type Physician Office
Facility Name AHN PRIMARY CARE BUTLER
Street 103 TECHNOLOGY DRIVE
City BUTLER
State PA
ZIP 16001
Phone 412 482-0176
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2024
Certificate Expiration Date 2/23/2026
Facility Type Physician Office
Lab Director DR. SUNJAY K. MANNAN

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