39D1033790 CLIA NUMBER - HERBERT FELLERMAN MD

Laboratory Demographics

  • CLIA Code: 39D1033790
  • Facility Name: HERBERT FELLERMAN MD
  • Facility Address: 183 MARKET ST, SUITE 101
    KINGSTON, PA
    ZIP 18704
  • Facility Phone: 570 718-6565
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. HERBERT FELLERMAN
  • NPI Number: 1376648444
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D1033790
LAB Type Physician Office
Facility Name HERBERT FELLERMAN MD
Street 183 MARKET ST, SUITE 101
City KINGSTON
State PA
ZIP 18704
Phone 570 718-6565
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2024
Certificate Expiration Date 11/16/2026
Facility Type Physician Office
Lab Director DR. HERBERT FELLERMAN

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