39D2144886 CLIA NUMBER - OPEN ARMS INT MED & PEDIATRICS PC

Laboratory Demographics

  • CLIA Code: 39D2144886
  • Facility Name: OPEN ARMS INT MED & PEDIATRICS PC
  • Facility Address: 3155 LYCOMING CREEK RD
    WILLIAMSPORT, PA
    ZIP 17701
  • Facility Phone: 570 651-9263
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RUSSELL L. GOMBOSI
  • NPI Number: 1154834927
  • Taxonomy: 261QM1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D2144886
LAB Type Physician Office
Facility Name OPEN ARMS INT MED & PEDIATRICS PC
Street 3155 LYCOMING CREEK RD
City WILLIAMSPORT
State PA
ZIP 17701
Phone 570 651-9263
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2024
Certificate Expiration Date 2/25/2026
Facility Type Physician Office
Lab Director RUSSELL L. GOMBOSI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025