39D2163676 CLIA NUMBER - GEISINGER SCRANTON OLIVE ST DO

Laboratory Demographics

  • CLIA Code: 39D2163676
  • Facility Name: GEISINGER SCRANTON OLIVE ST DO
  • Facility Address: 3 WEST OLIVE STREET
    SCRANTON, PA
    ZIP 18508
  • Facility Phone: 570 207-6299
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MATTHEW J. KAHARI
  • NPI Number: 1609283290
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 39D2163676
LAB Type Physician Office
Facility Name GEISINGER SCRANTON OLIVE ST DO
Street 3 WEST OLIVE STREET
City SCRANTON
State PA
ZIP 18508
Phone 570 207-6299
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2024
Certificate Expiration Date 4/23/2026
Facility Type Physician Office
Lab Director DR. MATTHEW J. KAHARI

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