39D0189360 CLIA NUMBER - WELLSPAN FAMILY MEDICINE IN MILTON

Laboratory Demographics

  • CLIA Code: 39D0189360
  • Facility Name: WELLSPAN FAMILY MEDICINE IN MILTON
  • Facility Address: 964 CARPENTER ROAD
    MILTON, PA
    ZIP 17847
  • Facility Phone: (570) 522-2990
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAY T. DOUGLAS

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CLIA Record

Field Name Field Value
CLIA Number 39D0189360
LAB Type Physician Office
Facility Name WELLSPAN FAMILY MEDICINE IN MILTON
Street 964 CARPENTER ROAD
City MILTON
State PA
ZIP 17847
Phone 5705222990
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2025
Certificate Expiration Date 10/3/2027
Facility Type Physician Office
Lab Director RAY T. DOUGLAS

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This page was last updated on: 5/18/2026