39D0186364 CLIA NUMBER - NEWPORT FAMILY PRACTICE NEWPORT FAMILY PRACTICE PC

Laboratory Demographics

  • CLIA Code: 39D0186364
  • Facility Name: NEWPORT FAMILY PRACTICE NEWPORT FAMILY PRACTICE PC
  • Facility Address: 52 RED HILL COURT
    NEWPORT, PA
    ZIP 17074
  • Facility Phone: 717 567-3151
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MICHELLE L. BRENIZER MD
  • NPI Number: 1285939579
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0186364
LAB Type Physician Office
Facility Name NEWPORT FAMILY PRACTICE NEWPORT FAMILY PRACTICE PC
Street 52 RED HILL COURT
City NEWPORT
State PA
ZIP 17074
Phone 717 567-3151
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/17/2025
Certificate Expiration Date 7/16/2027
Facility Type Physician Office
Lab Director MICHELLE L. BRENIZER MD

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