39D0193365 CLIA NUMBER - GEISINGER MOUNTAIN TOP

Laboratory Demographics

  • CLIA Code: 39D0193365
  • Facility Name: GEISINGER MOUNTAIN TOP
  • Facility Address: 35 SOUTH MOUNTAIN BLVD
    MOUNTAIN TOP, PA
    ZIP 18707
  • Facility Phone: 570 474-5978
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DR. JENNIFER A. WHEELER
  • NPI Number: 1245355478
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 39D0193365
LAB Type Other
Facility Name GEISINGER MOUNTAIN TOP
Street 35 SOUTH MOUNTAIN BLVD
City MOUNTAIN TOP
State PA
ZIP 18707
Phone 570 474-5978
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2024
Certificate Expiration Date 6/30/2026
Facility Type Other
Lab Director DR. JENNIFER A. WHEELER

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