39D2196725 CLIA NUMBER - COMMONWEALTH HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 39D2196725
  • Facility Name: COMMONWEALTH HOSPICE LLC
  • Facility Address: 4955 STEUBENVILLE PIKE, SUITE 125
    PITTSBURGH, PA
    ZIP 15205
  • Facility Phone: 412 489-5893
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DR. JOHN M. PRENDERGAST
  • NPI Number: 1336783323
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 39D2196725
LAB Type Hospice
Facility Name COMMONWEALTH HOSPICE LLC
Street 4955 STEUBENVILLE PIKE, SUITE 125
City PITTSBURGH
State PA
ZIP 15205
Phone 412 489-5893
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2024
Certificate Expiration Date 10/19/2026
Facility Type Hospice
Lab Director DR. JOHN M. PRENDERGAST

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