39D1093553 CLIA NUMBER - GEISINGER WILKES BARRE 675 BD

Laboratory Demographics

  • CLIA Code: 39D1093553
  • Facility Name: GEISINGER WILKES BARRE 675 BD
  • Facility Address: 675 BALTIMORE DRIVE
    WILKES BARRE, PA
    ZIP 18702
  • Facility Phone: 570 826-7300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BRIAN C. JAMESON
  • NPI Number: 1497705925
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 39D1093553
LAB Type Physician Office
Facility Name GEISINGER WILKES BARRE 675 BD
Street 675 BALTIMORE DRIVE
City WILKES BARRE
State PA
ZIP 18702
Phone 570 826-7300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2024
Certificate Expiration Date 9/24/2026
Facility Type Physician Office
Lab Director DR. BRIAN C. JAMESON

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