39D0975168 CLIA NUMBER - GEISINGER NANTICOKE

Laboratory Demographics

  • CLIA Code: 39D0975168
  • Facility Name: GEISINGER NANTICOKE
  • Facility Address: 128 E MAIN STREET
    NANTICOKE, PA
    ZIP 18634
  • Facility Phone: 570 735-0385
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SUSAN A. WERNER MD
  • NPI Number: 1013128032
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 39D0975168
LAB Type Physician Office
Facility Name GEISINGER NANTICOKE
Street 128 E MAIN STREET
City NANTICOKE
State PA
ZIP 18634
Phone 570 735-0385
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/28/2024
Certificate Expiration Date 6/27/2026
Facility Type Physician Office
Lab Director DR. SUSAN A. WERNER MD

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