39D2215935 CLIA NUMBER - WESTERN PA SURGERY CENTER BEAVER CO BRANCH LLC

Laboratory Demographics

CLIA Number: 39D2215935

Facility Name: WESTERN PA SURGERY CENTER BEAVER CO BRANCH LLC

Facility Address:
103 PLEASANT DRIVE
ALIQUIPPA, PA
ZIP 15001
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Facility Phone Number: 724 203-3340

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1568060655

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	39D2215935
LAB Type	Ambulatory Surgery Center
Facility Name	WESTERN PA SURGERY CENTER BEAVER CO BRANCH LLC
Street	103 PLEASANT DRIVE
City	ALIQUIPPA
State	PA
ZIP	15001
Phone	724 203-3340
CertificateType	4
CertificateEffectiveDate	3/9/2023
CertificateExpirationDate	3/8/2025
FacilityType	Waiver

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