39D2313281 CLIA NUMBER - NE PEDIATRICS INC VINCENT ROSS

Laboratory Demographics

  • CLIA Code: 39D2313281
  • Facility Name: NE PEDIATRICS INC VINCENT ROSS
  • Facility Address: 440 N MAIN AVE
    SCRANTON, PA
    ZIP 18504
  • Facility Phone: (570) 347-5605
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. VINCENT L. ROSS
  • NPI Number: 1316124902
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 39D2313281
LAB Type Physician Office
Facility Name NE PEDIATRICS INC VINCENT ROSS
Street 440 N MAIN AVE
City SCRANTON
State PA
ZIP 18504
Phone 5703475605
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2024
Certificate Expiration Date 10/28/2026
Facility Type Physician Office
Lab Director DR. VINCENT L. ROSS

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This page was last updated on: 5/18/2026