39D0894013 CLIA NUMBER - CCP HERITAGE, HARRISBURG

Laboratory Demographics

  • CLIA Code: 39D0894013
  • Facility Name: CCP HERITAGE, HARRISBURG
  • Facility Address: 1433 NORTH 2ND STREET
    HARRISBURG, PA
    ZIP 17102
  • Facility Phone: 717 234-4674
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ANDREA L. BURKS
  • NPI Number: 1811953250
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 39D0894013
LAB Type Physician Office
Facility Name CCP HERITAGE, HARRISBURG
Street 1433 NORTH 2ND STREET
City HARRISBURG
State PA
ZIP 17102
Phone 717 234-4674
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2025
Certificate Expiration Date 1/8/2027
Facility Type Physician Office
Lab Director DR. ANDREA L. BURKS

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