39D2091456 CLIA NUMBER - NORTHEASTERN EYE INSTITUTE

Laboratory Demographics

  • CLIA Code: 39D2091456
  • Facility Name: NORTHEASTERN EYE INSTITUTE
  • Facility Address: 200 MIFFLIN AVE
    SCRANTON, PA
    ZIP 18503
  • Facility Phone: 570 718-0590
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CHRISTOPHER S. JORDAN MD
  • NPI Number: 1366554172
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 39D2091456
LAB Type Physician Office
Facility Name NORTHEASTERN EYE INSTITUTE
Street 200 MIFFLIN AVE
City SCRANTON
State PA
ZIP 18503
Phone 570 718-0590
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2025
Certificate Expiration Date 2/12/2027
Facility Type Physician Office
Lab Director DR. CHRISTOPHER S. JORDAN MD

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