39D2085025 CLIA NUMBER - GEISINGER SELINSGROVE MSC

Laboratory Demographics

  • CLIA Code: 39D2085025
  • Facility Name: GEISINGER SELINSGROVE MSC
  • Facility Address: 157 ROOSEVELT AVENUE
    SELINSGROVE, PA
    ZIP 17870
  • Facility Phone: 570 271-8658
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. ANAND P. SEWAK
  • NPI Number: 1508292715
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D2085025
LAB Type Physician Office
Facility Name GEISINGER SELINSGROVE MSC
Street 157 ROOSEVELT AVENUE
City SELINSGROVE
State PA
ZIP 17870
Phone 570 271-8658
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/14/2025
Certificate Expiration Date 7/13/2027
Facility Type Physician Office
Lab Director DR. ANAND P. SEWAK

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