39D0937590 CLIA NUMBER - WELLSPAN INTERNAL MED - DOVER WELLSPAN MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 39D0937590
  • Facility Name: WELLSPAN INTERNAL MED - DOVER WELLSPAN MEDICAL GROUP
  • Facility Address: 4020 CARLISLE ROAD
    DOVER, PA
    ZIP 17315
  • Facility Phone: 717 851-6400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RAJESH K. NALLAPATI
  • NPI Number: 1619044880
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D0937590
LAB Type Physician Office
Facility Name WELLSPAN INTERNAL MED - DOVER WELLSPAN MEDICAL GROUP
Street 4020 CARLISLE ROAD
City DOVER
State PA
ZIP 17315
Phone 717 851-6400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2025
Certificate Expiration Date 2/1/2027
Facility Type Physician Office
Lab Director DR. RAJESH K. NALLAPATI

Download Record

Download this CLIA record record in Text format: Export

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

Download this CLIA record record in XML format: Export

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