39D0971479 CLIA NUMBER - PRIME MED KONDASH/ROBERTSON/KAREHA

Laboratory Demographics

  • CLIA Code: 39D0971479
  • Facility Name: PRIME MED KONDASH/ROBERTSON/KAREHA
  • Facility Address: ABINGTON PROFESSIONAL PLAZA 790 NORTHERN BLVD SUITE K
    CLARKS SUMMIT, PA
    ZIP 18411
  • Facility Phone: 570 586-4141
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL L. KONDASH DO
  • NPI Number: 1952719619
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0971479
LAB Type Physician Office
Facility Name PRIME MED KONDASH/ROBERTSON/KAREHA
Street ABINGTON PROFESSIONAL PLAZA 790 NORTHERN BLVD SUITE K
City CLARKS SUMMIT
State PA
ZIP 18411
Phone 570 586-4141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2024
Certificate Expiration Date 3/14/2026
Facility Type Physician Office
Lab Director MICHAEL L. KONDASH DO

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