39D2270311 CLIA NUMBER - PCS MENTAL HEALTH LLC

Laboratory Demographics

  • CLIA Code: 39D2270311
  • Facility Name: PCS MENTAL HEALTH LLC
  • Facility Address: 124 VILLAGE PARK DR
    POCONO PINES, PA
    ZIP 18350
  • Facility Phone: 215 997-9959
  • Facility Type: Other - COMM MENTAL HLTH FACILITY
  • Facility Type: Waiver
  • Lab Director: DR. MUHAMAD A. RIFAI
  • NPI Number: 1326503079
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 39D2270311
LAB Type Other - COMM MENTAL HLTH FACILITY
Facility Name PCS MENTAL HEALTH LLC
Street 124 VILLAGE PARK DR
City POCONO PINES
State PA
ZIP 18350
Phone 215 997-9959
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2024
Certificate Expiration Date 10/12/2026
Facility Type Other - COMM MENTAL HLTH FACILITY
Lab Director DR. MUHAMAD A. RIFAI

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