39D2076400 CLIA NUMBER - WYOMING VALLEY AIDS COUNCIL, INC

Laboratory Demographics

  • CLIA Code: 39D2076400
  • Facility Name: WYOMING VALLEY AIDS COUNCIL, INC
  • Facility Address: 330 BOWMAN STREET UNIT 1
    WILKES BARRE, PA
    ZIP 18702
  • Facility Phone: 570 823-5808
  • Facility Type: Other - AIDS SERVICE ORG
  • Facility Type: Waiver
  • Lab Director: DR. GUNNAR KOSEK DO
  • NPI Number: 1598113870
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D2076400
LAB Type Other - AIDS SERVICE ORG
Facility Name WYOMING VALLEY AIDS COUNCIL, INC
Street 330 BOWMAN STREET UNIT 1
City WILKES BARRE
State PA
ZIP 18702
Phone 570 823-5808
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2024
Certificate Expiration Date 4/16/2026
Facility Type Other - AIDS SERVICE ORG
Lab Director DR. GUNNAR KOSEK DO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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