39D0657279 CLIA NUMBER - GEISINGER PHILIPSBURG

Laboratory Demographics

  • CLIA Code: 39D0657279
  • Facility Name: GEISINGER PHILIPSBURG
  • Facility Address: 210 MEDICAL CENTER DRIVE
    PHILIPSBURG, PA
    ZIP 16866
  • Facility Phone: 814 342-8002
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DORIANN W. LAVERY
  • NPI Number: 1306804778
  • Taxonomy: 207RC0000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D0657279
LAB Type Physician Office
Facility Name GEISINGER PHILIPSBURG
Street 210 MEDICAL CENTER DRIVE
City PHILIPSBURG
State PA
ZIP 16866
Phone 814 342-8002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2025
Certificate Expiration Date 4/30/2027
Facility Type Physician Office
Lab Director DR. DORIANN W. LAVERY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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