39D1076088 CLIA NUMBER - EDWARD R LEAHY JR CENTER CLINIC FOR THE UNINSURED

Laboratory Demographics

CLIA Number: 39D1076088

Facility Name: EDWARD R LEAHY JR CENTER CLINIC FOR THE UNINSURED

Facility Address:
237 JEFFERSON AVENUE
SCRANTON, PA
ZIP 18503
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Facility Phone Number: 570 941-6112

Facility Type: Community Clinic

Certificate Type: Microscopy

NPI Number: 1124184668

Taxonomy: 2084P0800X - Psychiatry & Neurology
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

CLIA Record

Field Name	Field Value
CLIA Number	39D1076088
LAB Type	Community Clinic
Facility Name	EDWARD R LEAHY JR CENTER CLINIC FOR THE UNINSURED
Street	237 JEFFERSON AVENUE
City	SCRANTON
State	PA
ZIP	18503
Phone	570 941-6112
CertificateType	3
CertificateEffectiveDate	11/6/2023
CertificateExpirationDate	11/5/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024