39D2278738 CLIA NUMBER - SUSQUEHANNA HEALTH OB/GYN

Laboratory Demographics

  • CLIA Code: 39D2278738
  • Facility Name: SUSQUEHANNA HEALTH OB/GYN
  • Facility Address: 10 SHADY LANE, SUITE 103
    MUNCY, PA
    ZIP 17756
  • Facility Phone: 570 321-3300
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. JOSHUA J. STUTZMAN
  • NPI Number: 1770719882
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 39D2278738
LAB Type Physician Office
Facility Name SUSQUEHANNA HEALTH OB/GYN
Street 10 SHADY LANE, SUITE 103
City MUNCY
State PA
ZIP 17756
Phone 570 321-3300
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 3/23/2025
Certificate Expiration Date 3/22/2027
Facility Type Physician Office
Lab Director DR. JOSHUA J. STUTZMAN

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