39D0685699 CLIA NUMBER - UPMC YORKTOWNE UROLOGY

Laboratory Demographics

  • CLIA Code: 39D0685699
  • Facility Name: UPMC YORKTOWNE UROLOGY
  • Facility Address: 2350 FREEDOM WAY SUITE 102
    YORK, PA
    ZIP 17402
  • Facility Phone: 717 741-9536
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. EDGAR BASELLI
  • NPI Number: 1649357278
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 39D0685699
LAB Type Physician Office
Facility Name UPMC YORKTOWNE UROLOGY
Street 2350 FREEDOM WAY SUITE 102
City YORK
State PA
ZIP 17402
Phone 717 741-9536
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 12/30/2024
Certificate Expiration Date 12/29/2026
Facility Type Physician Office
Lab Director DR. EDGAR BASELLI

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