39D1011467 CLIA NUMBER - BERNARD C ADUKAITIS DO

Laboratory Demographics

  • CLIA Code: 39D1011467
  • Facility Name: BERNARD C ADUKAITIS DO
  • Facility Address: 602 ALTAMONT BLVD
    FRACKVILLE, PA
    ZIP 17931
  • Facility Phone: 570 874-2033
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BERNARD C. ADUKAITIS DO
  • NPI Number: 1194704239
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 39D1011467
LAB Type Physician Office
Facility Name BERNARD C ADUKAITIS DO
Street 602 ALTAMONT BLVD
City FRACKVILLE
State PA
ZIP 17931
Phone 570 874-2033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Physician Office
Lab Director BERNARD C. ADUKAITIS DO

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