39D2290045 CLIA NUMBER - PRIME CARE PROVIDERS

Laboratory Demographics

  • CLIA Code: 39D2290045
  • Facility Name: PRIME CARE PROVIDERS
  • Facility Address: 1013 MENOHER BLVD
    JOHNSTOWN, PA
    ZIP 15905
  • Facility Phone: 814 254-4885
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. GEORGE J. FREM
  • NPI Number: 1992353619
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2290045
LAB Type Physician Office
Facility Name PRIME CARE PROVIDERS
Street 1013 MENOHER BLVD
City JOHNSTOWN
State PA
ZIP 15905
Phone 814 254-4885
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2025
Certificate Expiration Date 9/19/2027
Facility Type Physician Office
Lab Director DR. GEORGE J. FREM

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