39D0183821 CLIA NUMBER - NORTH EAST FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 39D0183821
  • Facility Name: NORTH EAST FAMILY PRACTICE
  • Facility Address: 115 EAST MAIN STREET
    NORTH EAST, PA
    ZIP 16428
  • Facility Phone: (814) 725-8774
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN E. DUDZINSKI DO
  • NPI Number: 1003064924
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D0183821
LAB Type Physician Office
Facility Name NORTH EAST FAMILY PRACTICE
Street 115 EAST MAIN STREET
City NORTH EAST
State PA
ZIP 16428
Phone 8147258774
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2026
Certificate Expiration Date 3/21/2028
Facility Type Physician Office
Lab Director JOHN E. DUDZINSKI DO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026