39D2040882 CLIA NUMBER - CARBONDALE FAMILY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 39D2040882
  • Facility Name: CARBONDALE FAMILY HEALTH CENTER
  • Facility Address: 150 BROOKLYN ST
    CARBONDALE, PA
    ZIP 18407
  • Facility Phone: 570 282-2031
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. TERRY J. LUMA
  • NPI Number: 1689631491
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 39D2040882
LAB Type Federally Qualified Health Center
Facility Name CARBONDALE FAMILY HEALTH CENTER
Street 150 BROOKLYN ST
City CARBONDALE
State PA
ZIP 18407
Phone 570 282-2031
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2024
Certificate Expiration Date 5/10/2026
Facility Type Federally Qualified Health Center
Lab Director DR. TERRY J. LUMA

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