39D0189627 CLIA NUMBER - GEISINGER FRACKVILLE

Laboratory Demographics

  • CLIA Code: 39D0189627
  • Facility Name: GEISINGER FRACKVILLE
  • Facility Address: 701 WEST OAK STREET
    FRACKVILLE, PA
    ZIP 17931
  • Facility Phone: 570 271-8658
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. CASEY D. NOWAK
  • NPI Number: 1689626152
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0189627
LAB Type Physician Office
Facility Name GEISINGER FRACKVILLE
Street 701 WEST OAK STREET
City FRACKVILLE
State PA
ZIP 17931
Phone 570 271-8658
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 3/11/2025
Certificate Expiration Date 3/10/2027
Facility Type Physician Office
Lab Director DR. CASEY D. NOWAK

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