39D2127333 CLIA NUMBER - MOUNT POCONO MEDICAL

Laboratory Demographics

  • CLIA Code: 39D2127333
  • Facility Name: MOUNT POCONO MEDICAL
  • Facility Address: 1151 POCONO BLVD, SUITE 3
    MOUNT POCONO, PA
    ZIP 18344
  • Facility Phone: 570 839-7246
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ARIELLE J. GERARD
  • NPI Number: 1447580584
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2127333
LAB Type Physician Office
Facility Name MOUNT POCONO MEDICAL
Street 1151 POCONO BLVD, SUITE 3
City MOUNT POCONO
State PA
ZIP 18344
Phone 570 839-7246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2025
Certificate Expiration Date 3/12/2027
Facility Type Physician Office
Lab Director DR. ARIELLE J. GERARD

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