CLIA lab
CLIA 39D0981789: David Mouallem, DO
Nanticoke, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D0981789 belongs to David Mouallem, DO in Nanticoke, PA.
Certificate of Waiver, effective January 8, 2025, expires January 7, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- January 8, 2025
- Certificate expiration
- January 7, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 8, 2001
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 39D0981789
- Lab name
- David Mouallem, DO
- Additional name
- Commonwealth Physician Network, LLC
- Address
- 4 East Main Street, Nanticoke, PA 18634
- Phone
- (570) 735-7474
- Fax
- (570) 735-2921
Other labs in Nanticoke, PA
- Birchwood Healthcare and Rehabilitation CenterCertificate of Waiver, Skilled nursing or nursing facility39D0884366
- Commonwealth HealthCertificate of Waiver, Physician office39D0900432
- Convenientcare NanticokeCertificate of Waiver, Rural health clinic39D2293368
- Evans Eye CareCertificate of Waiver, Physician office39D2276925
- Fresenius Medical Care NanticokeCertificate of Waiver, End stage renal disease dialysis facility39D0970187
- Geisinger NanticokeCertificate of Waiver, Physician office39D0975168
- Lakewood Rehabilitation & Healthcare CenterCertificate of Waiver, Skilled nursing or nursing facility39D0863347
- Nanticoke Fire Dept Community Ambulance Medic 25Certificate of Waiver, Ambulance39D1067952
- Weis Markets #152Certificate of Waiver, Pharmacy39D2328285
- Weis Markets #152Certificate of Waiver, Health fair39D2328287
Related
Questions
What is the CLIA number for David Mouallem, DO in Nanticoke?
39D0981789, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does David Mouallem, DO hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D0981789 expire?
The CMS file lists January 7, 2027 as the certificate expiration date; the certificate took effect January 8, 2025.