39D2288438 CLIA NUMBER - GEISINGER POTTSVILLE POCT

Laboratory Demographics

  • CLIA Code: 39D2288438
  • Facility Name: GEISINGER POTTSVILLE POCT
  • Facility Address: 529 TERRY REILEY WAY
    POTTSVILLE, PA
    ZIP 17901
  • Facility Phone: 570 624-4415
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. NICHOLAS V. IACCARINO
  • NPI Number: 1255445748
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 39D2288438
LAB Type Physician Office
Facility Name GEISINGER POTTSVILLE POCT
Street 529 TERRY REILEY WAY
City POTTSVILLE
State PA
ZIP 17901
Phone 570 624-4415
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2023
Certificate Expiration Date 8/24/2025
Facility Type Physician Office
Lab Director DR. NICHOLAS V. IACCARINO

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This page was last updated on: 6/4/2025