39D0188151 CLIA NUMBER - LITITZ FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 39D0188151
  • Facility Name: LITITZ FAMILY MEDICINE
  • Facility Address: 562 WEST SECOND AVENUE
    LITITZ, PA
    ZIP 17543
  • Facility Phone: 717 626-2167
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: DR. THOMAS W. ANDERSEN MD
  • NPI Number: 1215349352
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 39D0188151
LAB Type Practitioner Other
Facility Name LITITZ FAMILY MEDICINE
Street 562 WEST SECOND AVENUE
City LITITZ
State PA
ZIP 17543
Phone 717 626-2167
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 8/25/2024
Certificate Expiration Date 8/24/2026
Facility Type Practitioner Other
Lab Director DR. THOMAS W. ANDERSEN MD

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