39D2090129 CLIA NUMBER - FAMILY RECOVERY, LLC

Laboratory Demographics

  • CLIA Code: 39D2090129
  • Facility Name: FAMILY RECOVERY, LLC
  • Facility Address: 1101 EAST THIRD STREET
    WILLIAMSPORT, PA
    ZIP 17701
  • Facility Phone: 570 505-3180
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. GREGORY FAMIGLIO
  • NPI Number: 1588905723
  • Taxonomy: 207QA0401X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2090129
LAB Type Physician Office
Facility Name FAMILY RECOVERY, LLC
Street 1101 EAST THIRD STREET
City WILLIAMSPORT
State PA
ZIP 17701
Phone 570 505-3180
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2025
Certificate Expiration Date 1/14/2027
Facility Type Physician Office
Lab Director DR. GREGORY FAMIGLIO

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