39D2080613 CLIA NUMBER - ST LUKES BARTONSVILLE

Laboratory Demographics

  • CLIA Code: 39D2080613
  • Facility Name: ST LUKES BARTONSVILLE
  • Facility Address: 3361 ROUTE 611
    BARTONSVILLE, PA
    ZIP 18321
  • Facility Phone: 570 664-8775
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RALPH D. HAWKS
  • NPI Number: 1760740864
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2080613
LAB Type Physician Office
Facility Name ST LUKES BARTONSVILLE
Street 3361 ROUTE 611
City BARTONSVILLE
State PA
ZIP 18321
Phone 570 664-8775
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2024
Certificate Expiration Date 7/10/2026
Facility Type Physician Office
Lab Director DR. RALPH D. HAWKS

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