39D0892958 CLIA NUMBER - GUTHRIE MEDICAL GROUP -TUNKHANNOCK

Laboratory Demographics

  • CLIA Code: 39D0892958
  • Facility Name: GUTHRIE MEDICAL GROUP -TUNKHANNOCK
  • Facility Address: 5950 SR 6 SUITE 101
    TUNKHANNOCK, PA
    ZIP 18657
  • Facility Phone: 570 836-4292
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DAVID A. PFISTERER
  • NPI Number: 1164471652
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0892958
LAB Type Physician Office
Facility Name GUTHRIE MEDICAL GROUP -TUNKHANNOCK
Street 5950 SR 6 SUITE 101
City TUNKHANNOCK
State PA
ZIP 18657
Phone 570 836-4292
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2024
Certificate Expiration Date 10/11/2026
Facility Type Physician Office
Lab Director DR. DAVID A. PFISTERER

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