39D0677754 CLIA NUMBER - UPMC MCSHERRYSTOWN PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 39D0677754
  • Facility Name: UPMC MCSHERRYSTOWN PRIMARY CARE
  • Facility Address: 70 ACADEMY STREET
    MCSHERRYSTOWN, PA
    ZIP 17344
  • Facility Phone: 717 637-4188
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. RALPH W. DICKSON
  • NPI Number: 1568400406
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0677754
LAB Type Physician Office
Facility Name UPMC MCSHERRYSTOWN PRIMARY CARE
Street 70 ACADEMY STREET
City MCSHERRYSTOWN
State PA
ZIP 17344
Phone 717 637-4188
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 1/5/2024
Certificate Expiration Date 1/4/2026
Facility Type Physician Office
Lab Director DR. RALPH W. DICKSON

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