39D2231258 CLIA NUMBER - GEISINGER 65 FORWARD SHAMOKIN

Laboratory Demographics

  • CLIA Code: 39D2231258
  • Facility Name: GEISINGER 65 FORWARD SHAMOKIN
  • Facility Address: 9333 STATE ROUTE 61, SUITE 2
    COAL TOWNSHIP, PA
    ZIP 17866
  • Facility Phone: 570 644-6198
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. THOMAS J. HOOD
  • NPI Number: 1609827088
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 39D2231258
LAB Type Physician Office
Facility Name GEISINGER 65 FORWARD SHAMOKIN
Street 9333 STATE ROUTE 61, SUITE 2
City COAL TOWNSHIP
State PA
ZIP 17866
Phone 570 644-6198
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2025
Certificate Expiration Date 8/1/2027
Facility Type Physician Office
Lab Director DR. THOMAS J. HOOD

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