39D2300005 CLIA NUMBER - LECOM AMBULATORY SURGERY CTR

Laboratory Demographics

  • CLIA Code: 39D2300005
  • Facility Name: LECOM AMBULATORY SURGERY CTR
  • Facility Address: 5202 PEACH ST
    ERIE, PA
    ZIP 16509
  • Facility Phone: 814 315-4520
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Accreditation
  • Lab Director: DR. LISA C. STEVENS
  • NPI Number: 1518742204
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2300005
LAB Type Ambulatory Surgery Center
Facility Name LECOM AMBULATORY SURGERY CTR
Street 5202 PEACH ST
City ERIE
State PA
ZIP 16509
Phone 814 315-4520
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/13/2025
Certificate Expiration Date 2/12/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. LISA C. STEVENS

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