39D0185673 CLIA NUMBER - WELLSPAN INTERNAL MEDICINE - WILSON STREET

Laboratory Demographics

  • CLIA Code: 39D0185673
  • Facility Name: WELLSPAN INTERNAL MEDICINE - WILSON STREET
  • Facility Address: 220 WILSON STREET SUITE 109
    CARLISLE, PA
    ZIP 17013
  • Facility Phone: 717 240-2424
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER BERO
  • NPI Number: 1639190978
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0185673
LAB Type Physician Office
Facility Name WELLSPAN INTERNAL MEDICINE - WILSON STREET
Street 220 WILSON STREET SUITE 109
City CARLISLE
State PA
ZIP 17013
Phone 717 240-2424
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2025
Certificate Expiration Date 1/29/2027
Facility Type Physician Office
Lab Director CHRISTOPHER BERO

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