39D2207329 CLIA NUMBER - WYOMING CORRECTIONAL FACILITY

Laboratory Demographics

  • CLIA Code: 39D2207329
  • Facility Name: WYOMING CORRECTIONAL FACILITY
  • Facility Address: 10 STARK STREET
    TUNKHANNOCK, PA
    ZIP 18657
  • Facility Phone: 717 582-2262
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: DR. KENNETH R. WLOCZEWSKI
  • NPI Number: 1790101798
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 39D2207329
LAB Type Prison
Facility Name WYOMING CORRECTIONAL FACILITY
Street 10 STARK STREET
City TUNKHANNOCK
State PA
ZIP 18657
Phone 717 582-2262
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2024
Certificate Expiration Date 12/27/2026
Facility Type Prison
Lab Director DR. KENNETH R. WLOCZEWSKI

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