39D0978957 CLIA NUMBER - WELLSPAN PEDIATRIC MEDICINE- SHREWSBURY

Laboratory Demographics

  • CLIA Code: 39D0978957
  • Facility Name: WELLSPAN PEDIATRIC MEDICINE- SHREWSBURY
  • Facility Address: 15 CONSTITUTION AVENUE
    SHREWSBURY, PA
    ZIP 17361
  • Facility Phone: (717) 741-9063
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ALEXA R. LAUDENSLAGER

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CLIA Record

Field Name Field Value
CLIA Number 39D0978957
LAB Type Physician Office
Facility Name WELLSPAN PEDIATRIC MEDICINE- SHREWSBURY
Street 15 CONSTITUTION AVENUE
City SHREWSBURY
State PA
ZIP 17361
Phone 7177419063
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2025
Certificate Expiration Date 10/19/2027
Facility Type Physician Office
Lab Director DR. ALEXA R. LAUDENSLAGER

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This page was last updated on: 5/18/2026