39D2246008 CLIA NUMBER - ST JOSEPHS CENTER

Laboratory Demographics

  • CLIA Code: 39D2246008
  • Facility Name: ST JOSEPHS CENTER
  • Facility Address: 2010 ADAMS AVENUE
    SCRANTON, PA
    ZIP 18509
  • Facility Phone: 570 342-8379
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: DR. PETER A. COGNETTI
  • NPI Number: 1053779561
  • Taxonomy: 3140N1450X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D2246008
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name ST JOSEPHS CENTER
Street 2010 ADAMS AVENUE
City SCRANTON
State PA
ZIP 18509
Phone 570 342-8379
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2023
Certificate Expiration Date 12/19/2025
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director DR. PETER A. COGNETTI

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