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39D0657424 CLIA NUMBER - FAMILY PRACTICE CENTER DIAGNOSTIC CNTR

Laboratory Demographics

CLIA Number: 39D0657424

Facility Name: FAMILY PRACTICE CENTER DIAGNOSTIC CNTR

Facility Address:
270 SUSQUEHANNA VALLEY MALL DRIVE
SELINSGROVE, PA
ZIP 17870
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Facility Phone Number: 570 884-7920

Facility Type: Independent

Certificate Type: Accreditation
NPI Number: 1033322466

Taxonomy: 291U00000X - Clinical Medical Laboratory
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

CLIA Record

Field Name Field Value
CLIA Number 39D0657424
LAB Type Independent
Facility Name FAMILY PRACTICE CENTER DIAGNOSTIC CNTR
Street 270 SUSQUEHANNA VALLEY MALL DRIVE
City SELINSGROVE
State PA
ZIP 17870
Phone 570 884-7920
CertificateType 1
CertificateEffectiveDate 2/25/2023
CertificateExpirationDate 2/24/2025
FacilityType Accreditation

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This page was last updated on: 4/23/2024