39D2181626 CLIA NUMBER - BHS PRIMARY CARE, ELLWOOD CITY

Laboratory Demographics

  • CLIA Code: 39D2181626
  • Facility Name: BHS PRIMARY CARE, ELLWOOD CITY
  • Facility Address: 235 STATE ROUTE 288
    ELLWOOD CITY, PA
    ZIP 16117
  • Facility Phone: 833 391-0736
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARY C. TANYEL
  • NPI Number: 1366835167
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2181626
LAB Type Physician Office
Facility Name BHS PRIMARY CARE, ELLWOOD CITY
Street 235 STATE ROUTE 288
City ELLWOOD CITY
State PA
ZIP 16117
Phone 833 391-0736
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2024
Certificate Expiration Date 4/7/2026
Facility Type Physician Office
Lab Director DR. MARY C. TANYEL

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