39D0191452 CLIA NUMBER - FREELAND HEALTH CENTER

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Laboratory Demographics

CLIA Number: 39D0191452

Facility Name: FREELAND HEALTH CENTER

Facility Address:
404 RIDGE STREET
FREELAND, PA
ZIP 18224
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Facility Phone Number: 570 636-1556

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1649413253

Taxonomy: 332H00000X - Eyewear Supplier
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

CLIA Record

Field Name	Field Value
CLIA Number	39D0191452
LAB Type	Other
Facility Name	FREELAND HEALTH CENTER
Street	404 RIDGE STREET
City	FREELAND
State	PA
ZIP	18224
Phone	570 636-1556
CertificateType	4
CertificateEffectiveDate	4/4/2024
CertificateExpirationDate	4/3/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024