39D0193464 CLIA NUMBER - NEPA COMMUNITY HEALTH CARE

Laboratory Demographics

  • CLIA Code: 39D0193464
  • Facility Name: NEPA COMMUNITY HEALTH CARE
  • Facility Address: 498 S MAIN STREET, SUITE D
    MONTROSE, PA
    ZIP 18801
  • Facility Phone: 570 278-7500
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: DR. ROGER E. SCOTT
  • NPI Number: 1245272707
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D0193464
LAB Type Federally Qualified Health Center
Facility Name NEPA COMMUNITY HEALTH CARE
Street 498 S MAIN STREET, SUITE D
City MONTROSE
State PA
ZIP 18801
Phone 570 278-7500
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/9/2023
Certificate Expiration Date 7/8/2025
Facility Type Federally Qualified Health Center
Lab Director DR. ROGER E. SCOTT

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