39D2283581 CLIA NUMBER - ENDLESS MOUNTAINS - HALLSTEAD

Laboratory Demographics

  • CLIA Code: 39D2283581
  • Facility Name: ENDLESS MOUNTAINS - HALLSTEAD
  • Facility Address: 26 ROSE STREET
    HALLSTEAD, PA
    ZIP 18822
  • Facility Phone: 570 278-3801
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. IHAB A. DANA
  • NPI Number: 1356407373
  • Taxonomy: 282NC0060X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 39D2283581
LAB Type Physician Office
Facility Name ENDLESS MOUNTAINS - HALLSTEAD
Street 26 ROSE STREET
City HALLSTEAD
State PA
ZIP 18822
Phone 570 278-3801
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2025
Certificate Expiration Date 6/8/2027
Facility Type Physician Office
Lab Director DR. IHAB A. DANA

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