39D0946595 CLIA NUMBER - WELLSPAN FAMILY MED CROSS KEYS WELLSPAN MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 39D0946595
  • Facility Name: WELLSPAN FAMILY MED CROSS KEYS WELLSPAN MEDICAL GROUP
  • Facility Address: 2900 CARLISLE PIKE
    NEW OXFORD, PA
    ZIP 17350
  • Facility Phone: 717 812-2554
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. STEPHANIE A. JOHNSON-MARRERO
  • NPI Number: 1649348525
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0946595
LAB Type Physician Office
Facility Name WELLSPAN FAMILY MED CROSS KEYS WELLSPAN MEDICAL GROUP
Street 2900 CARLISLE PIKE
City NEW OXFORD
State PA
ZIP 17350
Phone 717 812-2554
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2024
Certificate Expiration Date 4/18/2026
Facility Type Physician Office
Lab Director DR. STEPHANIE A. JOHNSON-MARRERO

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