39D2269271 CLIA NUMBER - ST JOSEPHS CENTER

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CLIA Record

Field Name Field Value
CLIA Number 39D2269271
LAB Type Other - ADULT DAY PROGRAM (IDD)
Facility Name ST JOSEPHS CENTER
Street 320 S BLAKELY STREET
City DUNMORE
State PA
ZIP 18512
Phone 5703428379
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Other - ADULT DAY PROGRAM (IDD)
Lab Director DR. PETER A. COGNETTI

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This page was last updated on: 5/18/2026