39D1044553 CLIA NUMBER - PHYSICIAN HEALTH ALLIANCE SCRANTON QUINCY CLINIC COMPANY, LLC

Laboratory Demographics

  • CLIA Code: 39D1044553
  • Facility Name: PHYSICIAN HEALTH ALLIANCE SCRANTON QUINCY CLINIC COMPANY, LLC
  • Facility Address: 315 S MAIN ST, PEAR TREE PLAZA
    SCRANTON, PA
    ZIP 18515
  • Facility Phone: (570) 346-7338
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. ANDREA TOMASSONI MD

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CLIA Record

Field Name Field Value
CLIA Number 39D1044553
LAB Type Physician Office
Facility Name PHYSICIAN HEALTH ALLIANCE SCRANTON QUINCY CLINIC COMPANY, LLC
Street 315 S MAIN ST, PEAR TREE PLAZA
City SCRANTON
State PA
ZIP 18515
Phone 5703467338
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type Physician Office
Lab Director DR. ANDREA TOMASSONI MD

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This page was last updated on: 5/18/2026