39D0892614 CLIA NUMBER - BLUE MOUNTAIN PEDIATRICS PC

Laboratory Demographics

  • CLIA Code: 39D0892614
  • Facility Name: BLUE MOUNTAIN PEDIATRICS PC
  • Facility Address: 4 SOUTH GREENVIEW ROAD
    SCHUYLKILL HAVEN, PA
    ZIP 17972
  • Facility Phone: 570 366-7337
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CAROL A. BILINSKI MD
  • NPI Number: 1871699678
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 39D0892614
LAB Type Physician Office
Facility Name BLUE MOUNTAIN PEDIATRICS PC
Street 4 SOUTH GREENVIEW ROAD
City SCHUYLKILL HAVEN
State PA
ZIP 17972
Phone 570 366-7337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2024
Certificate Expiration Date 12/7/2026
Facility Type Physician Office
Lab Director CAROL A. BILINSKI MD

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