39D1008615 CLIA NUMBER - HAZLETON AMBULATORY SURGICAL CTR LLC

Laboratory Demographics

  • CLIA Code: 39D1008615
  • Facility Name: HAZLETON AMBULATORY SURGICAL CTR LLC
  • Facility Address: 1062 NORTH CHURCH STREET
    HAZLETON, PA
    ZIP 18202
  • Facility Phone: 570 459-9927
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: NICHOLAS J. BARNA MD
  • NPI Number: 1346330164
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 39D1008615
LAB Type Ambulatory Surgery Center
Facility Name HAZLETON AMBULATORY SURGICAL CTR LLC
Street 1062 NORTH CHURCH STREET
City HAZLETON
State PA
ZIP 18202
Phone 570 459-9927
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2025
Certificate Expiration Date 1/23/2027
Facility Type Ambulatory Surgery Center
Lab Director NICHOLAS J. BARNA MD

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