39D1017641 CLIA NUMBER - CENTERS FOR ADVANCED UROLOGY, LLP, THE

Laboratory Demographics

  • CLIA Code: 39D1017641
  • Facility Name: CENTERS FOR ADVANCED UROLOGY, LLP, THE
  • Facility Address: 1510 CORNWALL ROAD
    LEBANON, PA
    ZIP 17042
  • Facility Phone: 717 393-1771
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. KENNETH D. LESSANS
  • NPI Number: 1073195707
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 39D1017641
LAB Type Physician Office
Facility Name CENTERS FOR ADVANCED UROLOGY, LLP, THE
Street 1510 CORNWALL ROAD
City LEBANON
State PA
ZIP 17042
Phone 717 393-1771
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 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Physician Office
Lab Director DR. KENNETH D. LESSANS

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