39D2306207 CLIA NUMBER - RURAL HEALTH CLINIC OF WATTSBURG

Laboratory Demographics

  • CLIA Code: 39D2306207
  • Facility Name: RURAL HEALTH CLINIC OF WATTSBURG
  • Facility Address: 9040 WATTSBURG RD
    ERIE, PA
    ZIP 16509
  • Facility Phone: 814 737-0833
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: DR. JORDAN R. VROMAN
  • NPI Number: 1134905565
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2306207
LAB Type Rural Health Clinic
Facility Name RURAL HEALTH CLINIC OF WATTSBURG
Street 9040 WATTSBURG RD
City ERIE
State PA
ZIP 16509
Phone 814 737-0833
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2024
Certificate Expiration Date 6/12/2026
Facility Type Rural Health Clinic
Lab Director DR. JORDAN R. VROMAN

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