39D0977513 CLIA NUMBER - WELLSPAN INTERNL MED NEW HOLLAND

Laboratory Demographics

  • CLIA Code: 39D0977513
  • Facility Name: WELLSPAN INTERNL MED NEW HOLLAND
  • Facility Address: 435 S KINZER AVENUE, SUITE 10
    NEW HOLLAND, PA
    ZIP 17557
  • Facility Phone: 717 733-6546
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARIO MALLOZZI
  • NPI Number: 1417133448
  • Taxonomy: 261QU0200X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D0977513
LAB Type Physician Office
Facility Name WELLSPAN INTERNL MED NEW HOLLAND
Street 435 S KINZER AVENUE, SUITE 10
City NEW HOLLAND
State PA
ZIP 17557
Phone 717 733-6546
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/29/2024
Certificate Expiration Date 8/28/2026
Facility Type Physician Office
Lab Director MARIO MALLOZZI

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