39D0986081 CLIA NUMBER - MEMORIAL FAMILY MEDICINE AT SUSQUEHANNA TRAIL

Laboratory Demographics

  • CLIA Code: 39D0986081
  • Facility Name: MEMORIAL FAMILY MEDICINE AT SUSQUEHANNA TRAIL
  • Facility Address: 2295A SUSQUEHANNA TRAIL
    YORK, PA
    ZIP 17404
  • Facility Phone: 717 812-0731
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. PUNEET K. GUPTA
  • NPI Number: 1184765836
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0986081
LAB Type Physician Office
Facility Name MEMORIAL FAMILY MEDICINE AT SUSQUEHANNA TRAIL
Street 2295A SUSQUEHANNA TRAIL
City YORK
State PA
ZIP 17404
Phone 717 812-0731
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2024
Certificate Expiration Date 3/26/2026
Facility Type Physician Office
Lab Director DR. PUNEET K. GUPTA

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