39D0864456 CLIA NUMBER - PHYSICIANS HEALTH ALLIANCE

Laboratory Demographics

  • CLIA Code: 39D0864456
  • Facility Name: PHYSICIANS HEALTH ALLIANCE
  • Facility Address: 743 JEFFERSON AVENUE SUITE 203
    SCRANTON, PA
    ZIP 18510
  • Facility Phone: 570 344-9457
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. VIKAS KHURANA
  • NPI Number: 1184603672
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0864456
LAB Type Physician Office
Facility Name PHYSICIANS HEALTH ALLIANCE
Street 743 JEFFERSON AVENUE SUITE 203
City SCRANTON
State PA
ZIP 18510
Phone 570 344-9457
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2024
Certificate Expiration Date 2/7/2026
Facility Type Physician Office
Lab Director DR. VIKAS KHURANA

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