39D0192327 CLIA NUMBER - COMMUNITY CARE MOUNT PLEASANT

Laboratory Demographics

  • CLIA Code: 39D0192327
  • Facility Name: COMMUNITY CARE MOUNT PLEASANT
  • Facility Address: 531 MT PLEASANT DRIVE
    SCRANTON, PA
    ZIP 18503
  • Facility Phone: 570 342-8500
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL A. KOVALICK
  • NPI Number: 1013149988
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D0192327
LAB Type Independent
Facility Name COMMUNITY CARE MOUNT PLEASANT
Street 531 MT PLEASANT DRIVE
City SCRANTON
State PA
ZIP 18503
Phone 570 342-8500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2024
Certificate Expiration Date 8/5/2026
Facility Type Independent
Lab Director DR. MICHAEL A. KOVALICK

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This page was last updated on: 3/20/2025