39D0678514 CLIA NUMBER - WELLSPAN FAMILY MED AT REITZ BLVD

Laboratory Demographics

  • CLIA Code: 39D0678514
  • Facility Name: WELLSPAN FAMILY MED AT REITZ BLVD
  • Facility Address: 98 REITZ BOULEVARD
    LEWISBURG, PA
    ZIP 17837
  • Facility Phone: (570) 522-2990
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. MICHAEL D. BROWN

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CLIA Record

Field Name Field Value
CLIA Number 39D0678514
LAB Type Physician Office
Facility Name WELLSPAN FAMILY MED AT REITZ BLVD
Street 98 REITZ BOULEVARD
City LEWISBURG
State PA
ZIP 17837
Phone 5705222990
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 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Physician Office
Lab Director DR. MICHAEL D. BROWN

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