39D2208926 CLIA NUMBER - GREATER HAZLETON GASTROENTEROLOGY

Laboratory Demographics

  • CLIA Code: 39D2208926
  • Facility Name: GREATER HAZLETON GASTROENTEROLOGY
  • Facility Address: 10 PARK PLACE
    HAZLETON, PA
    ZIP 18202
  • Facility Phone: (570) 454-1400
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. RYAN CRISTELLI
  • NPI Number: 1427683580
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2208926
LAB Type Physician Office
Facility Name GREATER HAZLETON GASTROENTEROLOGY
Street 10 PARK PLACE
City HAZLETON
State PA
ZIP 18202
Phone 5704541400
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/27/2025
Certificate Expiration Date 4/26/2027
Facility Type Physician Office
Lab Director DR. RYAN CRISTELLI

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This page was last updated on: 5/18/2026