39D0721848 CLIA NUMBER - LANCASTER GENERAL WLA LAB TESTING

Laboratory Demographics

  • CLIA Code: 39D0721848
  • Facility Name: LANCASTER GENERAL WLA LAB TESTING
  • Facility Address: 317 SOUTH CHESTNUT STREET
    QUARRYVILLE, PA
    ZIP 17566
  • Facility Phone: 717 544-4331
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: DR. MONDRAYA F. HOWARD
  • NPI Number: 1154417855
  • Taxonomy: 103TC0700X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 39D0721848
LAB Type Ancillary Testing Site in Health Care Center
Facility Name LANCASTER GENERAL WLA LAB TESTING
Street 317 SOUTH CHESTNUT STREET
City QUARRYVILLE
State PA
ZIP 17566
Phone 717 544-4331
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2025
Certificate Expiration Date 2/19/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DR. MONDRAYA F. HOWARD

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