39D2193054 CLIA NUMBER - LAUREL ENT AND ALLERGY PC

Laboratory Demographics

  • CLIA Code: 39D2193054
  • Facility Name: LAUREL ENT AND ALLERGY PC
  • Facility Address: 1000 STONEWOOD DRIVE
    WEXFORD, PA
    ZIP 15090
  • Facility Phone: 724 349-4360
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SUMEET MATHUR
  • NPI Number: 1649387515
  • Taxonomy: 207YX0007X - Otolaryngology

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CLIA Record

Field Name Field Value
CLIA Number 39D2193054
LAB Type Physician Office
Facility Name LAUREL ENT AND ALLERGY PC
Street 1000 STONEWOOD DRIVE
City WEXFORD
State PA
ZIP 15090
Phone 724 349-4360
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2024
Certificate Expiration Date 9/16/2026
Facility Type Physician Office
Lab Director DR. SUMEET MATHUR

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