39D0683110 CLIA NUMBER - WELLSPAN FAMILY MEDICINE-CAPE HORN

Laboratory Demographics

  • CLIA Code: 39D0683110
  • Facility Name: WELLSPAN FAMILY MEDICINE-CAPE HORN
  • Facility Address: 3193 CAPE HORN ROAD
    RED LION, PA
    ZIP 17356
  • Facility Phone: 717 812-5888
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SHUBHI KWATRA
  • NPI Number: 1093882144
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D0683110
LAB Type Physician Office
Facility Name WELLSPAN FAMILY MEDICINE-CAPE HORN
Street 3193 CAPE HORN ROAD
City RED LION
State PA
ZIP 17356
Phone 717 812-5888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2024
Certificate Expiration Date 5/12/2026
Facility Type Physician Office
Lab Director DR. SHUBHI KWATRA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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