39D0662458 CLIA NUMBER - GUTHRIE MEDICAL GROUP - WELLSBORO

Laboratory Demographics

  • CLIA Code: 39D0662458
  • Facility Name: GUTHRIE MEDICAL GROUP - WELLSBORO
  • Facility Address: 110 PLAZA LANE
    WELLSBORO, PA
    ZIP 16901
  • Facility Phone: 570 724-4241
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: DAVID A. PFISTERER
  • NPI Number: 1952350167
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0662458
LAB Type Practitioner Other
Facility Name GUTHRIE MEDICAL GROUP - WELLSBORO
Street 110 PLAZA LANE
City WELLSBORO
State PA
ZIP 16901
Phone 570 724-4241
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Practitioner Other
Lab Director DAVID A. PFISTERER

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