39D0187204 CLIA NUMBER - GARY CZULADA DO LAB

Laboratory Demographics

  • CLIA Code: 39D0187204
  • Facility Name: GARY CZULADA DO LAB
  • Facility Address: 3740 CARLISLE RD
    DOVER, PA
    ZIP 17315
  • Facility Phone: 717 292-3168
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. GARY CZULADA DO
  • NPI Number: 1477578573
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0187204
LAB Type Physician Office
Facility Name GARY CZULADA DO LAB
Street 3740 CARLISLE RD
City DOVER
State PA
ZIP 17315
Phone 717 292-3168
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2024
Certificate Expiration Date 1/31/2026
Facility Type Physician Office
Lab Director DR. GARY CZULADA DO

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