39D0930158 CLIA NUMBER - CCP YORK MEMORIAL

Laboratory Demographics

  • CLIA Code: 39D0930158
  • Facility Name: CCP YORK MEMORIAL
  • Facility Address: 2860 CAROL ROAD
    YORK, PA
    ZIP 17402
  • Facility Phone: 717 757-3400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MELENCIO C. VENTURA
  • NPI Number: 1922654789
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 39D0930158
LAB Type Physician Office
Facility Name CCP YORK MEMORIAL
Street 2860 CAROL ROAD
City YORK
State PA
ZIP 17402
Phone 717 757-3400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Physician Office
Lab Director DR. MELENCIO C. VENTURA

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