39D2193985 CLIA NUMBER - GEISINGER 65 FORWARD HAZELTON

Laboratory Demographics

  • CLIA Code: 39D2193985
  • Facility Name: GEISINGER 65 FORWARD HAZELTON
  • Facility Address: 20 DIANA LANE
    HAZLETON, PA
    ZIP 18202
  • Facility Phone: 570 808-7917
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SHANE S. YOUNG
  • NPI Number: 1245797570
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D2193985
LAB Type Physician Office
Facility Name GEISINGER 65 FORWARD HAZELTON
Street 20 DIANA LANE
City HAZLETON
State PA
ZIP 18202
Phone 570 808-7917
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2024
Certificate Expiration Date 9/27/2026
Facility Type Physician Office
Lab Director DR. SHANE S. YOUNG

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