39D2312138 CLIA NUMBER - GEISINGER MOOSIC MONTAGE

Laboratory Demographics

  • CLIA Code: 39D2312138
  • Facility Name: GEISINGER MOOSIC MONTAGE
  • Facility Address: 5 LAKEVIEW COMMONS
    MOOSIC, PA
    ZIP 18507
  • Facility Phone: 570 558-2180
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JOSEPH F. LEO
  • NPI Number: 1346073640
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2312138
LAB Type Physician Office
Facility Name GEISINGER MOOSIC MONTAGE
Street 5 LAKEVIEW COMMONS
City MOOSIC
State PA
ZIP 18507
Phone 570 558-2180
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2024
Certificate Expiration Date 10/3/2026
Facility Type Physician Office
Lab Director DR. JOSEPH F. LEO

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