39D2095434 CLIA NUMBER - NORTHEASTERN EYE INSTITUTE

Laboratory Demographics

  • CLIA Code: 39D2095434
  • Facility Name: NORTHEASTERN EYE INSTITUTE
  • Facility Address: 650 OLD WILLOW AVENUE
    HONESDALE, PA
    ZIP 18431
  • Facility Phone: 570 253-1720
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JEROME W. JORDAN
  • NPI Number: 1942211248
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2095434
LAB Type Physician Office
Facility Name NORTHEASTERN EYE INSTITUTE
Street 650 OLD WILLOW AVENUE
City HONESDALE
State PA
ZIP 18431
Phone 570 253-1720
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2025
Certificate Expiration Date 5/6/2027
Facility Type Physician Office
Lab Director DR. JEROME W. JORDAN

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