39D2309855 CLIA NUMBER - THE WRIGHT CENTER MED GRP

Laboratory Demographics

  • CLIA Code: 39D2309855
  • Facility Name: THE WRIGHT CENTER MED GRP
  • Facility Address: 312 BLVD AVE
    DICKSON CITY, PA
    ZIP 18519
  • Facility Phone: 570 591-5159
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. AJIT S. PANNU
  • NPI Number: 1902312093
  • Taxonomy: 174H00000X - Health Educator

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CLIA Record

Field Name Field Value
CLIA Number 39D2309855
LAB Type Federally Qualified Health Center
Facility Name THE WRIGHT CENTER MED GRP
Street 312 BLVD AVE
City DICKSON CITY
State PA
ZIP 18519
Phone 570 591-5159
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2024
Certificate Expiration Date 8/21/2026
Facility Type Federally Qualified Health Center
Lab Director DR. AJIT S. PANNU

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