39D0887433 CLIA NUMBER - HANOVER PEDIATRICS

Laboratory Demographics

  • CLIA Code: 39D0887433
  • Facility Name: HANOVER PEDIATRICS
  • Facility Address: 217 BROADWAY
    HANOVER, PA
    ZIP 17331
  • Facility Phone: 717 632-8944
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. KAE J. KIM
  • NPI Number: 1891721064
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 39D0887433
LAB Type Physician Office
Facility Name HANOVER PEDIATRICS
Street 217 BROADWAY
City HANOVER
State PA
ZIP 17331
Phone 717 632-8944
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/15/2024
Certificate Expiration Date 7/14/2026
Facility Type Physician Office
Lab Director DR. KAE J. KIM

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