39D2125030 CLIA NUMBER - DAVIS C HAIRE, OD

Laboratory Demographics

  • CLIA Code: 39D2125030
  • Facility Name: DAVIS C HAIRE, OD
  • Facility Address: 10 TREIBLE DR #3
    TUNKHANNOCK, PA
    ZIP 18657
  • Facility Phone: 570 836-2020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DAVIS HAIRE
  • NPI Number: 1184788267
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 39D2125030
LAB Type Physician Office
Facility Name DAVIS C HAIRE, OD
Street 10 TREIBLE DR #3
City TUNKHANNOCK
State PA
ZIP 18657
Phone 570 836-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2025
Certificate Expiration Date 1/30/2027
Facility Type Physician Office
Lab Director DR. DAVIS HAIRE

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