39D0985577 CLIA NUMBER - WELLSPAN DR HIMELFARB SURGERY CTR

Laboratory Demographics

  • CLIA Code: 39D0985577
  • Facility Name: WELLSPAN DR HIMELFARB SURGERY CTR
  • Facility Address: 12 ST PAUL DRIVE, SUITE 100
    CHAMBERSBURG, PA
    ZIP 17201
  • Facility Phone: 717 217-6720
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. ROGER T. WEISS
  • NPI Number: 1164191615
  • Taxonomy: 261QE0800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D0985577
LAB Type Ambulatory Surgery Center
Facility Name WELLSPAN DR HIMELFARB SURGERY CTR
Street 12 ST PAUL DRIVE, SUITE 100
City CHAMBERSBURG
State PA
ZIP 17201
Phone 717 217-6720
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2025
Certificate Expiration Date 4/22/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. ROGER T. WEISS

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