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CENTERVILLE CLINICS, INC.
NPI 1336076819
Clinic/Center - Federally Qualified Health Center (FQHC) in Avella, PA

Active since May 07, 2026CLIA 39D2349871 · Waiver
9 CAMPBELL ST, AVELLA, PA 15312(724) 632-6801(724) 632-6312 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 30, 2026, May 7, 2026 (2 updates tracked since 2026).

About Centerville Clinics, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTERVILLE CLINICS, INC. (NPI 1336076819) is a healthcare organization registered as a federally qualified health center (fqhc) in Avella, Pennsylvania and active in the NPI registry since May 2026. The organization holds a CLIA Waiver certificate valid through August 27, 2028 and lists Barry R Niccolai, Ceo, as its authorized official.

NPPES Registry Identity

NPI1336076819
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCENTERVILLE CLINICS, INC.
Location Address9 CAMPBELL STAvella, PA 15312-2151
Mailing Address1070 Old National PikeFredericktown, PA 15333-2114 · (724) 632-6801 · Fax (724) 632-6312
Phone(724) 632-6801
Fax(724) 632-6312
Organization SubpartNo
Authorized OfficialBarry R NiccolaiCeo · (724) 632-6801
Enumeration DateMay 7, 2026
Last NPPES UpdateJuly 30, 20262 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
✔ NPI 1336076819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
9 CAMPBELL ST, Avella, PA 15312
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2349871

Centerville Clinics - Avella · Avella, PA
Active · expires Aug 27, 2028
CLIA Number39D2349871
Laboratory TypePhysician Office
Certificate Effective DateAugust 28, 2026
Certificate Expiration DateAugust 27, 2028
Laboratory DirectorDr. Daniel L. Holt
Laboratory Phone(724) 587-2651
Laboratory LocationCenterville Clinics - Avella9 Campbell Street, Avella, PA 15312
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DENISE DEMARIA LUCAS CRNP
Nurse Practitioner (Family)
9 CAMPBELL ST
AVELLA, PA 15312
Washington County (724) 587-3472

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Centerville Clinics, Inc.'s NPI number?

The NPI number for Centerville Clinics, Inc. is 1336076819. It was assigned to this organization in the NPPES registry on May 7, 2026.

Where is Centerville Clinics, Inc. located?

Centerville Clinics, Inc. is located at 9 Campbell St, Avella, PA 15312. The listed phone number is (724) 632-6801.

What is Centerville Clinics, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Centerville Clinics, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2349871) is associated with this NPI, valid through August 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Centerville Clinics, Inc. was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.