39D2118011 CLIA NUMBER - SHAMOKIN HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 39D2118011
  • Facility Name: SHAMOKIN HEALTH CENTER
  • Facility Address: 531 NORTH FRANKLIN STREET
    SHAMOKIN, PA
    ZIP 17872
  • Facility Phone: 570 486-4588
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. BRIAN R. FOULK
  • NPI Number: 1013950278
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 39D2118011
LAB Type Federally Qualified Health Center
Facility Name SHAMOKIN HEALTH CENTER
Street 531 NORTH FRANKLIN STREET
City SHAMOKIN
State PA
ZIP 17872
Phone 570 486-4588
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2024
Certificate Expiration Date 8/26/2026
Facility Type Federally Qualified Health Center
Lab Director DR. BRIAN R. FOULK

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