39D2207218 CLIA NUMBER - BLAIR COUNTY PRISON

Laboratory Demographics

  • CLIA Code: 39D2207218
  • Facility Name: BLAIR COUNTY PRISON
  • Facility Address: 419 MARKET SQUARE ALLEY
    HOLLIDAYSBURG, PA
    ZIP 16648
  • Facility Phone: 814 693-3155
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: DR. RITA N. CAMACHO
  • NPI Number: 1013997204
  • Taxonomy: 2086S0122X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 39D2207218
LAB Type Prison
Facility Name BLAIR COUNTY PRISON
Street 419 MARKET SQUARE ALLEY
City HOLLIDAYSBURG
State PA
ZIP 16648
Phone 814 693-3155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/26/2024
Certificate Expiration Date 12/25/2026
Facility Type Prison
Lab Director DR. RITA N. CAMACHO

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