39D0192830 CLIA NUMBER - MARTIN J MORAN SR DO PC

Laboratory Demographics

  • CLIA Code: 39D0192830
  • Facility Name: MARTIN J MORAN SR DO PC
  • Facility Address: 217 LACKAWANNA AVENUE
    DUPONT, PA
    ZIP 18641
  • Facility Phone: 570 654-2901
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARTIN J. MORAN SR
  • NPI Number: 1992991764
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0192830
LAB Type Physician Office
Facility Name MARTIN J MORAN SR DO PC
Street 217 LACKAWANNA AVENUE
City DUPONT
State PA
ZIP 18641
Phone 570 654-2901
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DR. MARTIN J. MORAN SR

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