39D0981117 CLIA NUMBER - RICHARD H BLUM MD LABORATORY

Laboratory Demographics

  • CLIA Code: 39D0981117
  • Facility Name: RICHARD H BLUM MD LABORATORY
  • Facility Address: 545 NORTH RIVER ST SUITE 230
    WILKES BARRE, PA
    ZIP 18702
  • Facility Phone: 570 826-0526
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RICHARD H. BLUM
  • NPI Number: 1437173580
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0981117
LAB Type Physician Office
Facility Name RICHARD H BLUM MD LABORATORY
Street 545 NORTH RIVER ST SUITE 230
City WILKES BARRE
State PA
ZIP 18702
Phone 570 826-0526
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2024
Certificate Expiration Date 12/18/2026
Facility Type Physician Office
Lab Director DR. RICHARD H. BLUM

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