39D2057516 CLIA NUMBER - STROUDSBURG EYE SPECIALISTS

Laboratory Demographics

  • CLIA Code: 39D2057516
  • Facility Name: STROUDSBURG EYE SPECIALISTS
  • Facility Address: 2942 ROUTE 611, SUITE 105
    TANNERSVILLE, PA
    ZIP 18372
  • Facility Phone: 570 421-3342
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. THOMAS P. KISLAN
  • NPI Number: 1487784005
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 39D2057516
LAB Type Physician Office
Facility Name STROUDSBURG EYE SPECIALISTS
Street 2942 ROUTE 611, SUITE 105
City TANNERSVILLE
State PA
ZIP 18372
Phone 570 421-3342
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2024
Certificate Expiration Date 3/25/2026
Facility Type Physician Office
Lab Director DR. THOMAS P. KISLAN

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