39D0996931 CLIA NUMBER - POCONO CARDIOLOGY ASSOCIATES PC LAB

Laboratory Demographics

  • CLIA Code: 39D0996931
  • Facility Name: POCONO CARDIOLOGY ASSOCIATES PC LAB
  • Facility Address: 200 PLAZA COURT SUITE C
    EAST STROUDSBURG, PA
    ZIP 18301
  • Facility Phone: 570 424-9952
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GORDON W. FRIED
  • NPI Number: 1639216088
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0996931
LAB Type Physician Office
Facility Name POCONO CARDIOLOGY ASSOCIATES PC LAB
Street 200 PLAZA COURT SUITE C
City EAST STROUDSBURG
State PA
ZIP 18301
Phone 570 424-9952
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2024
Certificate Expiration Date 2/28/2026
Facility Type Physician Office
Lab Director GORDON W. FRIED

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