39D1017812 CLIA NUMBER - SOUTHERN COVE MEDICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 39D1017812
  • Facility Name: SOUTHERN COVE MEDICAL ASSOCIATES
  • Facility Address: 2230 WOODBURY PIKE SUITE 2
    LOYSBURG, PA
    ZIP 16659
  • Facility Phone: 814 766-3485
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DUANE P. DILLING DO
  • NPI Number: 1194767426
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D1017812
LAB Type Physician Office
Facility Name SOUTHERN COVE MEDICAL ASSOCIATES
Street 2230 WOODBURY PIKE SUITE 2
City LOYSBURG
State PA
ZIP 16659
Phone 814 766-3485
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2025
Certificate Expiration Date 10/5/2027
Facility Type Physician Office
Lab Director DUANE P. DILLING DO

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