39D2167172 CLIA NUMBER - GEISINGER CLINIC DBA GEISINGER 65 FORWARD KINGSTON

Laboratory Demographics

  • CLIA Code: 39D2167172
  • Facility Name: GEISINGER CLINIC DBA GEISINGER 65 FORWARD KINGSTON
  • Facility Address: 499 WYOMING AVENUE
    KINGSTON, PA
    ZIP 18704
  • Facility Phone: 570 714-3050
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JAMES A. TRICARICO
  • NPI Number: 1356816904
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D2167172
LAB Type Physician Office
Facility Name GEISINGER CLINIC DBA GEISINGER 65 FORWARD KINGSTON
Street 499 WYOMING AVENUE
City KINGSTON
State PA
ZIP 18704
Phone 570 714-3050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type Physician Office
Lab Director DR. JAMES A. TRICARICO

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: 9/29/2025