39D0894982 CLIA NUMBER - FEDERAL CORRECTIONAL COMPLEX ALLENWOOD

Laboratory Demographics

  • CLIA Code: 39D0894982
  • Facility Name: FEDERAL CORRECTIONAL COMPLEX ALLENWOOD
  • Facility Address: ROUTE 15 2 MILES NORTH OF ALLENWOOD
    WHITE DEER, PA
    ZIP 17887
  • Facility Phone: 570 547-0963
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DR. BRIAN O. BUSCHMAN
  • NPI Number: 1518505098
  • Taxonomy: 261QP2400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D0894982
LAB Type Other
Facility Name FEDERAL CORRECTIONAL COMPLEX ALLENWOOD
Street ROUTE 15 2 MILES NORTH OF ALLENWOOD
City WHITE DEER
State PA
ZIP 17887
Phone 570 547-0963
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2025
Certificate Expiration Date 6/11/2027
Facility Type Other
Lab Director DR. BRIAN O. BUSCHMAN

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