Healther Providers Data Logo

39D0921985 CLIA NUMBER - SPRING GROVE FAMILY CARE CENTER

Laboratory Demographics

CLIA Number: 39D0921985

Facility Name: SPRING GROVE FAMILY CARE CENTER

Facility Address:
2030 THISTLE HILL DRIVE SUITE 200
SPRING GROVE, PA
ZIP 17362
Get Directions

Facility Phone Number: 717 225-6556

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1144256413

Taxonomy: 251300000X - Local Education Agency (LEA)
The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy.

CLIA Record

Field Name Field Value
CLIA Number 39D0921985
LAB Type Physician Office
Facility Name SPRING GROVE FAMILY CARE CENTER
Street 2030 THISTLE HILL DRIVE SUITE 200
City SPRING GROVE
State PA
ZIP 17362
Phone 717 225-6556
CertificateType 4
CertificateEffectiveDate 11/12/2022
CertificateExpirationDate 11/11/2024
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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