39D0189011 CLIA NUMBER - GEISINGER LOCK HAVEN

Laboratory Demographics

  • CLIA Code: 39D0189011
  • Facility Name: GEISINGER LOCK HAVEN
  • Facility Address: 68 SPRING STREET
    LOCK HAVEN, PA
    ZIP 17745
  • Facility Phone: 570 748-7714
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. SHANNON E. SEELAND
  • NPI Number: 1700838000
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 39D0189011
LAB Type Physician Office
Facility Name GEISINGER LOCK HAVEN
Street 68 SPRING STREET
City LOCK HAVEN
State PA
ZIP 17745
Phone 570 748-7714
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 10/24/2023
Certificate Expiration Date 10/23/2025
Facility Type Physician Office
Lab Director DR. SHANNON E. SEELAND

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