39D0972435 CLIA NUMBER - WHITE DEER RUN OF LEBANON

Laboratory Demographics

  • CLIA Code: 39D0972435
  • Facility Name: WHITE DEER RUN OF LEBANON
  • Facility Address: 3030 CHESTNUT STREET
    LEBANON, PA
    ZIP 17042
  • Facility Phone: 717 224-0704
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: DR. BRANDON M. ROSCOE
  • NPI Number: 1568582559
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 39D0972435
LAB Type Hospital
Facility Name WHITE DEER RUN OF LEBANON
Street 3030 CHESTNUT STREET
City LEBANON
State PA
ZIP 17042
Phone 717 224-0704
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2024
Certificate Expiration Date 4/6/2026
Facility Type Hospital
Lab Director DR. BRANDON M. ROSCOE

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