39D0189337 CLIA NUMBER - WELLSPAN FAMILY MEDICINE IN MIFFLINBURG

Laboratory Demographics

  • CLIA Code: 39D0189337
  • Facility Name: WELLSPAN FAMILY MEDICINE IN MIFFLINBURG
  • Facility Address: 101 MEADOW GREEN DRIVE
    MIFFLINBURG, PA
    ZIP 17844
  • Facility Phone: 717 966-1122
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. AYN H. KERBER
  • NPI Number: 1720880693
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0189337
LAB Type Physician Office
Facility Name WELLSPAN FAMILY MEDICINE IN MIFFLINBURG
Street 101 MEADOW GREEN DRIVE
City MIFFLINBURG
State PA
ZIP 17844
Phone 717 966-1122
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2024
Certificate Expiration Date 10/28/2026
Facility Type Physician Office
Lab Director DR. AYN H. KERBER

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