39D2308755 CLIA NUMBER - PRIMARY FOCUS MEDICINE

Laboratory Demographics

  • CLIA Code: 39D2308755
  • Facility Name: PRIMARY FOCUS MEDICINE
  • Facility Address: 1550 MAIN STREET, SUITE #1B
    DICKSON CITY, PA
    ZIP 18447
  • Facility Phone: 570 218-8055
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CAROLINA F. BRAGA
  • NPI Number: 1114700689
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2308755
LAB Type Physician Office
Facility Name PRIMARY FOCUS MEDICINE
Street 1550 MAIN STREET, SUITE #1B
City DICKSON CITY
State PA
ZIP 18447
Phone 570 218-8055
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2024
Certificate Expiration Date 8/1/2026
Facility Type Physician Office
Lab Director DR. CAROLINA F. BRAGA

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