39D1012756 CLIA NUMBER - GEISINGER - ELYSBURG

Laboratory Demographics

  • CLIA Code: 39D1012756
  • Facility Name: GEISINGER - ELYSBURG
  • Facility Address: 106 SOUTH MARKET ST
    ELYSBURG, PA
    ZIP 17824
  • Facility Phone: 570 672-2574
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DANIELLE M. MCGOVERN
  • NPI Number: 1497002919
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D1012756
LAB Type Physician Office
Facility Name GEISINGER - ELYSBURG
Street 106 SOUTH MARKET ST
City ELYSBURG
State PA
ZIP 17824
Phone 570 672-2574
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2024
Certificate Expiration Date 10/16/2026
Facility Type Physician Office
Lab Director DR. DANIELLE M. MCGOVERN

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