39D0969937 CLIA NUMBER - DINGMANS MEDICAL

Laboratory Demographics

  • CLIA Code: 39D0969937
  • Facility Name: DINGMANS MEDICAL
  • Facility Address: 1592 RT 739, SUITE 1
    DINGMANS FERRY, PA
    ZIP 18328
  • Facility Phone: 570 828-8000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LISA PATHAK
  • NPI Number: 1841431418
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D0969937
LAB Type Physician Office
Facility Name DINGMANS MEDICAL
Street 1592 RT 739, SUITE 1
City DINGMANS FERRY
State PA
ZIP 18328
Phone 570 828-8000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2024
Certificate Expiration Date 7/28/2026
Facility Type Physician Office
Lab Director DR. LISA PATHAK

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