39D0935195 CLIA NUMBER - SCOTT I ROSEN MD LABORATORY

Laboratory Demographics

CLIA Number: 39D0935195

Facility Name: SCOTT I ROSEN MD LABORATORY

Facility Address:
2031 HAY TERRACE
EASTON, PA
ZIP 18042
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Facility Phone Number: 610 252-8291

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1013966514

Taxonomy: 208800000X - Urology
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

CLIA Record

Field Name	Field Value
CLIA Number	39D0935195
LAB Type	Physician Office
Facility Name	SCOTT I ROSEN MD LABORATORY
Street	2031 HAY TERRACE
City	EASTON
State	PA
ZIP	18042
Phone	610 252-8291
CertificateType	3
CertificateEffectiveDate	10/22/2023
CertificateExpirationDate	10/21/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024