39D2180574 CLIA NUMBER - GEISINGER JERSEY SHORE CLINIC

Laboratory Demographics

  • CLIA Code: 39D2180574
  • Facility Name: GEISINGER JERSEY SHORE CLINIC
  • Facility Address: 1020 THOMPSON STREET
    JERSEY SHORE, PA
    ZIP 17740
  • Facility Phone: 570 398-1991
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RONALD N. EISTER
  • NPI Number: 1255382784
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 39D2180574
LAB Type Physician Office
Facility Name GEISINGER JERSEY SHORE CLINIC
Street 1020 THOMPSON STREET
City JERSEY SHORE
State PA
ZIP 17740
Phone 570 398-1991
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2024
Certificate Expiration Date 3/16/2026
Facility Type Physician Office
Lab Director DR. RONALD N. EISTER

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