39D0873827 CLIA NUMBER - GREEN HILL FAMILY HEALTH CENTER

Laboratory Demographics

CLIA Number: 39D0873827

Facility Name: GREEN HILL FAMILY HEALTH CENTER

Facility Address:
503 BRIDGE STREET
NEW CUMBERLAND, PA
ZIP 17070
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Facility Phone Number: 570 837-1740

Facility Type: Other

Certificate Type: Microscopy

NPI Number: 1386888261

Taxonomy: 332900000X - Non-Pharmacy Dispensing Site
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

CLIA Record

Field Name Field Value
CLIA Number 39D0873827
LAB Type Other
Facility Name GREEN HILL FAMILY HEALTH CENTER
Street 503 BRIDGE STREET
City NEW CUMBERLAND
State PA
ZIP 17070
Phone 570 837-1740
CertificateType 3
CertificateEffectiveDate 5/12/2024
CertificateExpirationDate 5/11/2026
FacilityType PPMP

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This page was last updated on: 4/23/2024