39D0719974 CLIA NUMBER - BETHANY VILLAGE RETIREMENT CENTER

Laboratory Demographics

  • CLIA Code: 39D0719974
  • Facility Name: BETHANY VILLAGE RETIREMENT CENTER
  • Facility Address: 5225 WILSON LANE
    MECHANICSBURG, PA
    ZIP 17055
  • Facility Phone: 717 591-8067
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: NAMRATA HALDIPUR MD
  • NPI Number: 1538133053
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D0719974
LAB Type Ancillary Testing Site in Health Care Center
Facility Name BETHANY VILLAGE RETIREMENT CENTER
Street 5225 WILSON LANE
City MECHANICSBURG
State PA
ZIP 17055
Phone 717 591-8067
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director NAMRATA HALDIPUR MD

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: 6/4/2025