Healther Providers Data Logo

39D2212578 CLIA NUMBER - ECHO TREATMENT CENTER, LLC DBA MEDMARK TREATMENT CENTERS WASHINGTON

Laboratory Demographics

CLIA Number: 39D2212578

Facility Name: ECHO TREATMENT CENTER, LLC DBA MEDMARK TREATMENT CENTERS WASHINGTON

Facility Address:
50 E WYLIE AVENUE, SUITE 1, 2, & 3
WASHINGTON, PA
ZIP 15301
Get Directions

Facility Phone Number: 724 222-6220

Facility Type: Other - NARCOTIC TRMT PRGM

Certificate Type: Waiver
NPI Number: 1992170930

Taxonomy: 261QM2800X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

CLIA Record

Field Name Field Value
CLIA Number 39D2212578
LAB Type Other - NARCOTIC TRMT PRGM
Facility Name ECHO TREATMENT CENTER, LLC DBA MEDMARK TREATMENT CENTERS WASHINGTON
Street 50 E WYLIE AVENUE, SUITE 1, 2, & 3
City WASHINGTON
State PA
ZIP 15301
Phone 724 222-6220
CertificateType 4
CertificateEffectiveDate 2/5/2023
CertificateExpirationDate 2/4/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024