39D2180051 CLIA NUMBER - HAZLETON PEDIATRICS

Laboratory Demographics

  • CLIA Code: 39D2180051
  • Facility Name: HAZLETON PEDIATRICS
  • Facility Address: 1730 EAST BROAD STREET
    HAZLETON, PA
    ZIP 18201
  • Facility Phone: 570 704-4648
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. MARY E. SOKACH
  • NPI Number: 1336161355
  • Taxonomy: 207ZP0102X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 39D2180051
LAB Type Federally Qualified Health Center
Facility Name HAZLETON PEDIATRICS
Street 1730 EAST BROAD STREET
City HAZLETON
State PA
ZIP 18201
Phone 570 704-4648
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2024
Certificate Expiration Date 3/4/2026
Facility Type Federally Qualified Health Center
Lab Director DR. MARY E. SOKACH

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