39D0943414 CLIA NUMBER - NORTHEAST GASTROENTEROLOGY CENTER

Laboratory Demographics

  • CLIA Code: 39D0943414
  • Facility Name: NORTHEAST GASTROENTEROLOGY CENTER
  • Facility Address: 10 PARK PLACE
    HAZLETON, PA
    ZIP 18202
  • Facility Phone: 570 454-1400
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. RYAN CRISTELLI
  • NPI Number: 1235507492
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 39D0943414
LAB Type Physician Office
Facility Name NORTHEAST GASTROENTEROLOGY CENTER
Street 10 PARK PLACE
City HAZLETON
State PA
ZIP 18202
Phone 570 454-1400
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/8/2023
Certificate Expiration Date 10/7/2025
Facility Type Physician Office
Lab Director DR. RYAN CRISTELLI

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