39D2282034 CLIA NUMBER - INTERVENTIONAL & SURGICAL STE OF WILKES BARRE, LLC

Laboratory Demographics

  • CLIA Code: 39D2282034
  • Facility Name: INTERVENTIONAL & SURGICAL STE OF WILKES BARRE, LLC
  • Facility Address: 1327 HIGHWAY 315 BLVD, SUITE 1
    WILKES BARRE, PA
    ZIP 18702
  • Facility Phone: 570 814-3926
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. LUIS L. NADAL
  • NPI Number: 1043937469
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2282034
LAB Type Ambulatory Surgery Center
Facility Name INTERVENTIONAL & SURGICAL STE OF WILKES BARRE, LLC
Street 1327 HIGHWAY 315 BLVD, SUITE 1
City WILKES BARRE
State PA
ZIP 18702
Phone 570 814-3926
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2025
Certificate Expiration Date 5/15/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. LUIS L. NADAL

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