39D0714913 CLIA NUMBER - GEISINGER ORWIGSBURG

Laboratory Demographics

  • CLIA Code: 39D0714913
  • Facility Name: GEISINGER ORWIGSBURG
  • Facility Address: 300 HOLLYWOOD BLVD
    ORWIGSBURG, PA
    ZIP 17961
  • Facility Phone: 570 271-8658
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. IAN O. KATES
  • NPI Number: 1932151842
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0714913
LAB Type Physician Office
Facility Name GEISINGER ORWIGSBURG
Street 300 HOLLYWOOD BLVD
City ORWIGSBURG
State PA
ZIP 17961
Phone 570 271-8658
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2024
Certificate Expiration Date 5/6/2026
Facility Type Physician Office
Lab Director DR. IAN O. KATES

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