39D2281728 CLIA NUMBER - HIGHLANDS HOSPITAL FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 39D2281728
  • Facility Name: HIGHLANDS HOSPITAL FAMILY MEDICINE
  • Facility Address: 2618 B MEMORIAL BLVD
    CONNELLSVILLE, PA
    ZIP 15425
  • Facility Phone: 724 626-0700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. WILLIAM J. KOZAK JR
  • NPI Number: 1639115637
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2281728
LAB Type Physician Office
Facility Name HIGHLANDS HOSPITAL FAMILY MEDICINE
Street 2618 B MEMORIAL BLVD
City CONNELLSVILLE
State PA
ZIP 15425
Phone 724 626-0700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2025
Certificate Expiration Date 5/10/2027
Facility Type Physician Office
Lab Director DR. WILLIAM J. KOZAK JR

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