39D2180606 CLIA NUMBER - PA NICE HOMES LLC

Laboratory Demographics

  • CLIA Code: 39D2180606
  • Facility Name: PA NICE HOMES LLC
  • Facility Address: 100 PLAZA COURT, SUITE D
    EAST STROUDSBURG, PA
    ZIP 18301
  • Facility Phone: 570 775-3100
  • Facility Type: Other - PARTIAL BEHAV HLTH FAC
  • Facility Type: Waiver
  • Lab Director: DR. JOHN P. GOMEZ
  • NPI Number: 1720619836
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2180606
LAB Type Other - PARTIAL BEHAV HLTH FAC
Facility Name PA NICE HOMES LLC
Street 100 PLAZA COURT, SUITE D
City EAST STROUDSBURG
State PA
ZIP 18301
Phone 570 775-3100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2024
Certificate Expiration Date 3/17/2026
Facility Type Other - PARTIAL BEHAV HLTH FAC
Lab Director DR. JOHN P. GOMEZ

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