39D2282030 CLIA NUMBER - MIND DOJO LLC

Laboratory Demographics

  • CLIA Code: 39D2282030
  • Facility Name: MIND DOJO LLC
  • Facility Address: 8958 HILL DRIVE
    IRWIN, PA
    ZIP 15642
  • Facility Phone: 412 722-3618
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LAUREN H. GRAWERT
  • NPI Number: 1730805763
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 39D2282030
LAB Type Physician Office
Facility Name MIND DOJO LLC
Street 8958 HILL DRIVE
City IRWIN
State PA
ZIP 15642
Phone 412 722-3618
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2025
Certificate Expiration Date 5/15/2027
Facility Type Physician Office
Lab Director DR. LAUREN H. GRAWERT

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