39D0896722 CLIA NUMBER - JAMES J KOSIK DO PC

Laboratory Demographics

  • CLIA Code: 39D0896722
  • Facility Name: JAMES J KOSIK DO PC
  • Facility Address: 824 MCALPINE STREET
    AVOCA, PA
    ZIP 18641
  • Facility Phone: (570) 457-9299
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JAMES J. KOSIK
  • NPI Number: 1013020551
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0896722
LAB Type Physician Office
Facility Name JAMES J KOSIK DO PC
Street 824 MCALPINE STREET
City AVOCA
State PA
ZIP 18641
Phone 5704579299
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 1/18/2025
Certificate Expiration Date 1/17/2027
Facility Type Physician Office
Lab Director JAMES J. KOSIK

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This page was last updated on: 5/18/2026