39D0863889 CLIA NUMBER - MONROE COUNTY CORRECTIONAL COMPLEX

Laboratory Demographics

  • CLIA Code: 39D0863889
  • Facility Name: MONROE COUNTY CORRECTIONAL COMPLEX
  • Facility Address: 4250 MANOR DRIVE
    STROUDSBURG, PA
    ZIP 18360
  • Facility Phone: 717 992-2879
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: DR. KENNETH R. WLOCZEWSKI
  • NPI Number: 1801336409
  • Taxonomy: 101YA0400X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 39D0863889
LAB Type Prison
Facility Name MONROE COUNTY CORRECTIONAL COMPLEX
Street 4250 MANOR DRIVE
City STROUDSBURG
State PA
ZIP 18360
Phone 717 992-2879
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Prison
Lab Director DR. KENNETH R. WLOCZEWSKI

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