39D2271997 CLIA NUMBER - ST LUKE'S CARE NOW SMITHFIELD GATEWAY

Laboratory Demographics

  • CLIA Code: 39D2271997
  • Facility Name: ST LUKE'S CARE NOW SMITHFIELD GATEWAY
  • Facility Address: 125 SMITHFIELD LANE
    EAST STROUDSBURG, PA
    ZIP 18301
  • Facility Phone: 484 526-3260
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL M. SIDHOM
  • NPI Number: 1568889806
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 39D2271997
LAB Type Physician Office
Facility Name ST LUKE'S CARE NOW SMITHFIELD GATEWAY
Street 125 SMITHFIELD LANE
City EAST STROUDSBURG
State PA
ZIP 18301
Phone 484 526-3260
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Physician Office
Lab Director DR. MICHAEL M. SIDHOM

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