39D2157804 CLIA NUMBER - POWERS CREDX

Laboratory Demographics

  • CLIA Code: 39D2157804
  • Facility Name: POWERS CREDX
  • Facility Address: 525 HIGH ST
    LOCK HAVEN, PA
    ZIP 17745
  • Facility Phone: 570 858-1730
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RICHARD L. POWERS
  • NPI Number: 1841772811
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 39D2157804
LAB Type Physician Office
Facility Name POWERS CREDX
Street 525 HIGH ST
City LOCK HAVEN
State PA
ZIP 17745
Phone 570 858-1730
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Physician Office
Lab Director DR. RICHARD L. POWERS

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