39D2234158 CLIA NUMBER - GEISINGER 65 FORWARD STATE COLLEGE

Laboratory Demographics

  • CLIA Code: 39D2234158
  • Facility Name: GEISINGER 65 FORWARD STATE COLLEGE
  • Facility Address: 293 PATRIOT LANE
    STATE COLLEGE, PA
    ZIP 16803
  • Facility Phone: 814 272-6770
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SCOTT A. SULMAN
  • NPI Number: 1447686654
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2234158
LAB Type Physician Office
Facility Name GEISINGER 65 FORWARD STATE COLLEGE
Street 293 PATRIOT LANE
City STATE COLLEGE
State PA
ZIP 16803
Phone 814 272-6770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2025
Certificate Expiration Date 8/27/2027
Facility Type Physician Office
Lab Director DR. SCOTT A. SULMAN

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