39D0186018 CLIA NUMBER - PHILHAVEN HOSPITAL

Laboratory Demographics

  • CLIA Code: 39D0186018
  • Facility Name: PHILHAVEN HOSPITAL
  • Facility Address: 283 S BUTLER RD
    LEBANON, PA
    ZIP 17042
  • Facility Phone: 717 273-8871
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DR. NIDHI GARG
  • NPI Number: 1043316441
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 39D0186018
LAB Type Other
Facility Name PHILHAVEN HOSPITAL
Street 283 S BUTLER RD
City LEBANON
State PA
ZIP 17042
Phone 717 273-8871
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Other
Lab Director DR. NIDHI GARG

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This page was last updated on: 3/20/2025