39D2196719 CLIA NUMBER - RIVER VALLEY HEALTH AND DENTAL

Laboratory Demographics

  • CLIA Code: 39D2196719
  • Facility Name: RIVER VALLEY HEALTH AND DENTAL
  • Facility Address: 431 HEPBURN STREET
    WILLIAMSPORT, PA
    ZIP 17701
  • Facility Phone: 570 567-5400
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: DR. WILLIAM P. BARTLOW
  • NPI Number: 1386106680
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2196719
LAB Type Federally Qualified Health Center
Facility Name RIVER VALLEY HEALTH AND DENTAL
Street 431 HEPBURN STREET
City WILLIAMSPORT
State PA
ZIP 17701
Phone 570 567-5400
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/20/2024
Certificate Expiration Date 10/19/2026
Facility Type Federally Qualified Health Center
Lab Director DR. WILLIAM P. BARTLOW

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