39D0867203 CLIA NUMBER - SUSQUEHANNA HEALTH FAMILY MEDICARE AT LOCK HAVEN

Laboratory Demographics

  • CLIA Code: 39D0867203
  • Facility Name: SUSQUEHANNA HEALTH FAMILY MEDICARE AT LOCK HAVEN
  • Facility Address: 610 HIGH STREET
    LOCK HAVEN, PA
    ZIP 17745
  • Facility Phone: 570 748-1230
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. SARAH MCELROY DO
  • NPI Number: 1437754009
  • Taxonomy: 213ES0103X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 39D0867203
LAB Type Physician Office
Facility Name SUSQUEHANNA HEALTH FAMILY MEDICARE AT LOCK HAVEN
Street 610 HIGH STREET
City LOCK HAVEN
State PA
ZIP 17745
Phone 570 748-1230
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 9/16/2024
Certificate Expiration Date 9/15/2026
Facility Type Physician Office
Lab Director DR. SARAH MCELROY DO

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