39D1017435 CLIA NUMBER - NORTHEASTERN PA CARDIOLOGY ASSOC LLP

Laboratory Demographics

  • CLIA Code: 39D1017435
  • Facility Name: NORTHEASTERN PA CARDIOLOGY ASSOC LLP
  • Facility Address: 667 NORTH RIVER STREET SUITE 201
    PLAINS, PA
    ZIP 18705
  • Facility Phone: 570 823-1111
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN H. ELLIS MD
  • NPI Number: 1174543094
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D1017435
LAB Type Physician Office
Facility Name NORTHEASTERN PA CARDIOLOGY ASSOC LLP
Street 667 NORTH RIVER STREET SUITE 201
City PLAINS
State PA
ZIP 18705
Phone 570 823-1111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2025
Certificate Expiration Date 9/24/2027
Facility Type Physician Office
Lab Director JOHN H. ELLIS MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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