39D2247715 CLIA NUMBER - CARMICHAELS PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 39D2247715
  • Facility Name: CARMICHAELS PRIMARY CARE
  • Facility Address: 102 CARMICHAELS PLAZA
    CARMICHAELS, PA
    ZIP 15320
  • Facility Phone: 724 430-6027
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. GINA L. CANADA
  • NPI Number: 1407072903
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 39D2247715
LAB Type Physician Office
Facility Name CARMICHAELS PRIMARY CARE
Street 102 CARMICHAELS PLAZA
City CARMICHAELS
State PA
ZIP 15320
Phone 724 430-6027
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2024
Certificate Expiration Date 1/7/2026
Facility Type Physician Office
Lab Director DR. GINA L. CANADA

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