39D2093452 CLIA NUMBER - ISL, LTD

Laboratory Demographics

  • CLIA Code: 39D2093452
  • Facility Name: ISL, LTD
  • Facility Address: 1172 WEST MAIN STREET
    STROUDSBURG, PA
    ZIP 18360
  • Facility Phone: 570 424-6187
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ILAN S. LEVINSON MD
  • NPI Number: 1770592370
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 39D2093452
LAB Type Physician Office
Facility Name ISL, LTD
Street 1172 WEST MAIN STREET
City STROUDSBURG
State PA
ZIP 18360
Phone 570 424-6187
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2025
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. ILAN S. LEVINSON MD

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