39D0971823 CLIA NUMBER - WHITE DEER RUN OF LANCASTER

Laboratory Demographics

  • CLIA Code: 39D0971823
  • Facility Name: WHITE DEER RUN OF LANCASTER
  • Facility Address: 53-55 N WEST END AVENUE
    LANCASTER, PA
    ZIP 17604
  • Facility Phone: 717 847-0712
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: BRANDON ROSCOE
  • NPI Number: 1942320957
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 39D0971823
LAB Type Rural Health Clinic
Facility Name WHITE DEER RUN OF LANCASTER
Street 53-55 N WEST END AVENUE
City LANCASTER
State PA
ZIP 17604
Phone 717 847-0712
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2024
Certificate Expiration Date 3/21/2026
Facility Type Rural Health Clinic
Lab Director BRANDON ROSCOE

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