39D0907717 CLIA NUMBER - SUSQUEHANNA COMMUNITY HEALTH & DENTAL CENTER

Laboratory Demographics

  • CLIA Code: 39D0907717
  • Facility Name: SUSQUEHANNA COMMUNITY HEALTH & DENTAL CENTER
  • Facility Address: 471 HEPBURN STREET
    WILLIAMSPORT, PA
    ZIP 17701
  • Facility Phone: 570 567-5400
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: DR. WILLIAM P. BARTLOW
  • NPI Number: 1871198432
  • Taxonomy: 213ES0103X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 39D0907717
LAB Type Community Clinic
Facility Name SUSQUEHANNA COMMUNITY HEALTH & DENTAL CENTER
Street 471 HEPBURN STREET
City WILLIAMSPORT
State PA
ZIP 17701
Phone 570 567-5400
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/7/2024
Certificate Expiration Date 9/6/2026
Facility Type Community Clinic
Lab Director DR. WILLIAM P. BARTLOW

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