39D2084058 CLIA NUMBER - GEISINGER CONVENIENT CARE WILKES BARRE

Laboratory Demographics

  • CLIA Code: 39D2084058
  • Facility Name: GEISINGER CONVENIENT CARE WILKES BARRE
  • Facility Address: 1155 EAST MOUNTAIN BLVD
    WILKES-BARRE, PA
    ZIP 18702
  • Facility Phone: 800 818-1276
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: DR. JENNIFER A. WHEELER
  • NPI Number: 1033487483
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2084058
LAB Type Rural Health Clinic
Facility Name GEISINGER CONVENIENT CARE WILKES BARRE
Street 1155 EAST MOUNTAIN BLVD
City WILKES-BARRE
State PA
ZIP 18702
Phone 800 818-1276
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2024
Certificate Expiration Date 9/17/2026
Facility Type Rural Health Clinic
Lab Director DR. JENNIFER A. WHEELER

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