39D2225613 CLIA NUMBER - GEISINGER SCRANTON OAK ST

Laboratory Demographics

  • CLIA Code: 39D2225613
  • Facility Name: GEISINGER SCRANTON OAK ST
  • Facility Address: 821 OAK ST, SUITE 1
    SCRANTON, PA
    ZIP 18508
  • Facility Phone: 570 703-0539
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL G. GILHOOLEY
  • NPI Number: 1720665821
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2225613
LAB Type Physician Office
Facility Name GEISINGER SCRANTON OAK ST
Street 821 OAK ST, SUITE 1
City SCRANTON
State PA
ZIP 18508
Phone 570 703-0539
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2025
Certificate Expiration Date 5/21/2027
Facility Type Physician Office
Lab Director DR. MICHAEL G. GILHOOLEY

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