39D2009262 CLIA NUMBER - CHIMAHOSKY INTERNAL MEDICINE PC

Laboratory Demographics

  • CLIA Code: 39D2009262
  • Facility Name: CHIMAHOSKY INTERNAL MEDICINE PC
  • Facility Address: 1720 WEST MARKET STREET
    POTTSVILLE, PA
    ZIP 17901
  • Facility Phone: 570 622-1910
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JEFFREY CHIMAHOSKY
  • NPI Number: 1326365800
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2009262
LAB Type Physician Office
Facility Name CHIMAHOSKY INTERNAL MEDICINE PC
Street 1720 WEST MARKET STREET
City POTTSVILLE
State PA
ZIP 17901
Phone 570 622-1910
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2025
Certificate Expiration Date 5/8/2027
Facility Type Physician Office
Lab Director DR. JEFFREY CHIMAHOSKY

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