39D0967991 CLIA NUMBER - JANUSZ WOLANIN MD

Laboratory Demographics

CLIA Number: 39D0967991

Facility Name: JANUSZ WOLANIN MD

Facility Address:
233 SOUTH PROSPECT STREET
NANTICOKE, PA
ZIP 18634
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Facility Phone Number: 570 735-0102

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1841283249

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	39D0967991
LAB Type	Physician Office
Facility Name	JANUSZ WOLANIN MD
Street	233 SOUTH PROSPECT STREET
City	NANTICOKE
State	PA
ZIP	18634
Phone	570 735-0102
CertificateType	4
CertificateEffectiveDate	11/30/2023
CertificateExpirationDate	11/29/2025
FacilityType	Waiver

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