39D2175468 CLIA NUMBER - INTEGRATED SURGICAL INSTITUTE, LLC

Laboratory Demographics

  • CLIA Code: 39D2175468
  • Facility Name: INTEGRATED SURGICAL INSTITUTE, LLC
  • Facility Address: WEST RIDGE BUSINESS CAMPUS, 1001 JAMES DRIVE
    LEESPORT, PA
    ZIP 19533
  • Facility Phone: 484 284-9500
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. SCOTT E. ROSENTHAL
  • NPI Number: 1235788878
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2175468
LAB Type Ambulatory Surgery Center
Facility Name INTEGRATED SURGICAL INSTITUTE, LLC
Street WEST RIDGE BUSINESS CAMPUS, 1001 JAMES DRIVE
City LEESPORT
State PA
ZIP 19533
Phone 484 284-9500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2023
Certificate Expiration Date 11/20/2025
Facility Type Ambulatory Surgery Center
Lab Director DR. SCOTT E. ROSENTHAL

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