39D0185155 CLIA NUMBER - GEISINGER SELINSGROVE ROOSEVELT

Laboratory Demographics

  • CLIA Code: 39D0185155
  • Facility Name: GEISINGER SELINSGROVE ROOSEVELT
  • Facility Address: 201 ROOSEVELT AVENUE
    SELINSGROVE, PA
    ZIP 17870
  • Facility Phone: 570 374-0151
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DR. JAMES A. ZOLA
  • NPI Number: 1669653176
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 39D0185155
LAB Type Other
Facility Name GEISINGER SELINSGROVE ROOSEVELT
Street 201 ROOSEVELT AVENUE
City SELINSGROVE
State PA
ZIP 17870
Phone 570 374-0151
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2024
Certificate Expiration Date 8/19/2026
Facility Type Other
Lab Director DR. JAMES A. ZOLA

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