39D0192676 CLIA NUMBER - GEISINGER DALLAS

Laboratory Demographics

  • CLIA Code: 39D0192676
  • Facility Name: GEISINGER DALLAS
  • Facility Address: 114 LT MICHAEL CLEARY DRIVE
    DALLAS, PA
    ZIP 18612
  • Facility Phone: 570 629-1113
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DR. KARA A. BREZINSKI-CLARK DO
  • NPI Number: 1306897731
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0192676
LAB Type Other
Facility Name GEISINGER DALLAS
Street 114 LT MICHAEL CLEARY DRIVE
City DALLAS
State PA
ZIP 18612
Phone 570 629-1113
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Other
Lab Director DR. KARA A. BREZINSKI-CLARK DO

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