39D2251778 CLIA NUMBER - LAUREL HEALTH CENTER - MANSFIELD

Laboratory Demographics

  • CLIA Code: 39D2251778
  • Facility Name: LAUREL HEALTH CENTER - MANSFIELD
  • Facility Address: 416 SOUTH MAIN STREET
    MANSFIELD, PA
    ZIP 16933
  • Facility Phone: 570 418-0296
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: DR. GEORGE R. DY
  • NPI Number: 1609433036
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2251778
LAB Type Federally Qualified Health Center
Facility Name LAUREL HEALTH CENTER - MANSFIELD
Street 416 SOUTH MAIN STREET
City MANSFIELD
State PA
ZIP 16933
Phone 570 418-0296
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/5/2024
Certificate Expiration Date 2/4/2026
Facility Type Federally Qualified Health Center
Lab Director DR. GEORGE R. DY

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