39D0978001 CLIA NUMBER - BRUCE S BASHLINE DO INC

Laboratory Demographics

  • CLIA Code: 39D0978001
  • Facility Name: BRUCE S BASHLINE DO INC
  • Facility Address: 1100 SPRING GARDEN DRIVE
    MIDDLETOWN, PA
    ZIP 17057
  • Facility Phone: 717 985-9091
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BRUCE S. BASHLINE DO
  • NPI Number: 1912015132
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0978001
LAB Type Physician Office
Facility Name BRUCE S BASHLINE DO INC
Street 1100 SPRING GARDEN DRIVE
City MIDDLETOWN
State PA
ZIP 17057
Phone 717 985-9091
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 9/13/2024
Certificate Expiration Date 9/12/2026
Facility Type Physician Office
Lab Director BRUCE S. BASHLINE DO

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