39D1001203 CLIA NUMBER - WELLSPAN SURGICAL SPCS APPLE HILL

Laboratory Demographics

  • CLIA Code: 39D1001203
  • Facility Name: WELLSPAN SURGICAL SPCS APPLE HILL
  • Facility Address: 25 MONUMENT RD, STE 100 APPLE HILL MEDICAL CTR
    YORK, PA
    ZIP 17403
  • Facility Phone: 717 848-2067
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DANIEL HENRIKSON
  • NPI Number: 1215994934
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D1001203
LAB Type Physician Office
Facility Name WELLSPAN SURGICAL SPCS APPLE HILL
Street 25 MONUMENT RD, STE 100 APPLE HILL MEDICAL CTR
City YORK
State PA
ZIP 17403
Phone 717 848-2067
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2024
Certificate Expiration Date 7/2/2026
Facility Type Physician Office
Lab Director DR. DANIEL HENRIKSON

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