39D2087729 CLIA NUMBER - SCALIA PRIMARY CARE PC

Laboratory Demographics

  • CLIA Code: 39D2087729
  • Facility Name: SCALIA PRIMARY CARE PC
  • Facility Address: 35 TREMONT ROAD
    PINE GROVE, PA
    ZIP 17963
  • Facility Phone: 570 615-6497
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ROBERT A. SCALIA DO
  • NPI Number: 1952717738
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2087729
LAB Type Physician Office
Facility Name SCALIA PRIMARY CARE PC
Street 35 TREMONT ROAD
City PINE GROVE
State PA
ZIP 17963
Phone 570 615-6497
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2024
Certificate Expiration Date 12/2/2026
Facility Type Physician Office
Lab Director DR. ROBERT A. SCALIA DO

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