39D2162906 CLIA NUMBER - MARATHON HEALTH AT CARGILL WYALUSING

Laboratory Demographics

  • CLIA Code: 39D2162906
  • Facility Name: MARATHON HEALTH AT CARGILL WYALUSING
  • Facility Address: WYALUSING FARM & HOME SHOPPING PLAZA 41793 ROUTE 6
    WYALUSING, PA
    ZIP 18853
  • Facility Phone: 802 857-0400
  • Facility Type: Other - ONSITE HLTH CTR
  • Facility Type: Waiver
  • Lab Director: DR. REGINO J. FLORES
  • NPI Number: 1245863232
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 39D2162906
LAB Type Other - ONSITE HLTH CTR
Facility Name MARATHON HEALTH AT CARGILL WYALUSING
Street WYALUSING FARM & HOME SHOPPING PLAZA 41793 ROUTE 6
City WYALUSING
State PA
ZIP 18853
Phone 802 857-0400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Other - ONSITE HLTH CTR
Lab Director DR. REGINO J. FLORES

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