39D2021237 CLIA NUMBER - GEISINGER LEWISBURG SVI

Laboratory Demographics

  • CLIA Code: 39D2021237
  • Facility Name: GEISINGER LEWISBURG SVI
  • Facility Address: 120 HAMM DRIVE
    LEWISBURG, PA
    ZIP 17837
  • Facility Phone: 570 271-6302
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JACK T. MARTIN MD
  • NPI Number: 1962454322
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2021237
LAB Type Physician Office
Facility Name GEISINGER LEWISBURG SVI
Street 120 HAMM DRIVE
City LEWISBURG
State PA
ZIP 17837
Phone 570 271-6302
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2025
Certificate Expiration Date 3/8/2027
Facility Type Physician Office
Lab Director DR. JACK T. MARTIN MD

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