39D0186332 CLIA NUMBER - PERRY PEDIATRICS PC

Laboratory Demographics

  • CLIA Code: 39D0186332
  • Facility Name: PERRY PEDIATRICS PC
  • Facility Address: 106 CENTRE DRIVE
    NEW BLOOMFIELD, PA
    ZIP 17068
  • Facility Phone: 717 582-2181
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. COREY D. SHAMBAUGH
  • NPI Number: 1295856169
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 39D0186332
LAB Type Physician Office
Facility Name PERRY PEDIATRICS PC
Street 106 CENTRE DRIVE
City NEW BLOOMFIELD
State PA
ZIP 17068
Phone 717 582-2181
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2024
Certificate Expiration Date 12/6/2026
Facility Type Physician Office
Lab Director DR. COREY D. SHAMBAUGH

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