39D0907812 CLIA NUMBER - WELLSPAN FAMILY MEDICINE - COCALICO

Laboratory Demographics

  • CLIA Code: 39D0907812
  • Facility Name: WELLSPAN FAMILY MEDICINE - COCALICO
  • Facility Address: 30 W SWARTZVILLE ROAD
    REINHOLDS, PA
    ZIP 17569
  • Facility Phone: 717 484-4347
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. RAJIV KALRA
  • NPI Number: 1215257050
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D0907812
LAB Type Physician Office
Facility Name WELLSPAN FAMILY MEDICINE - COCALICO
Street 30 W SWARTZVILLE ROAD
City REINHOLDS
State PA
ZIP 17569
Phone 717 484-4347
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 10/23/2023
Certificate Expiration Date 10/22/2025
Facility Type Physician Office
Lab Director DR. RAJIV KALRA

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This page was last updated on: 3/20/2025