39D1059552 CLIA NUMBER - MONTROSE MINUTE MEN INC

Laboratory Demographics

  • CLIA Code: 39D1059552
  • Facility Name: MONTROSE MINUTE MEN INC
  • Facility Address: 55 REAR GROW AVENUE
    MONTROSE, PA
    ZIP 18801
  • Facility Phone: 570 278-9188
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: IHAB DANA MD
  • NPI Number: 1295789899
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 39D1059552
LAB Type Ambulance
Facility Name MONTROSE MINUTE MEN INC
Street 55 REAR GROW AVENUE
City MONTROSE
State PA
ZIP 18801
Phone 570 278-9188
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2024
Certificate Expiration Date 10/2/2026
Facility Type Ambulance
Lab Director IHAB DANA MD

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