39D0719049 CLIA NUMBER - GUY M FASCIANA MD

Laboratory Demographics

  • CLIA Code: 39D0719049
  • Facility Name: GUY M FASCIANA MD
  • Facility Address: 605 MAIN STREET
    DURYEA, PA
    ZIP 18642
  • Facility Phone: 570 457-1110
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: GUY M. FASCIANA MD
  • NPI Number: 1689689341
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0719049
LAB Type Independent
Facility Name GUY M FASCIANA MD
Street 605 MAIN STREET
City DURYEA
State PA
ZIP 18642
Phone 570 457-1110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2025
Certificate Expiration Date 2/28/2027
Facility Type Independent
Lab Director GUY M. FASCIANA MD

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