39D2326026 CLIA NUMBER - CHILDREN'S PINE CENTER

Laboratory Demographics

  • CLIA Code: 39D2326026
  • Facility Name: CHILDREN'S PINE CENTER
  • Facility Address: 11279 PERRY HIGHWAY
    WEXFORD, PA
    ZIP 15090
  • Facility Phone: 412 692-7337
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. COURTNEY CRAIN
  • NPI Number: 1184801870
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 39D2326026
LAB Type Physician Office
Facility Name CHILDREN'S PINE CENTER
Street 11279 PERRY HIGHWAY
City WEXFORD
State PA
ZIP 15090
Phone 412 692-7337
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/25/2025
Certificate Expiration Date 6/24/2027
Facility Type Physician Office
Lab Director DR. COURTNEY CRAIN

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