39D1042988 CLIA NUMBER - BERKS COUNTY VA CLINIC

Laboratory Demographics

  • CLIA Code: 39D1042988
  • Facility Name: BERKS COUNTY VA CLINIC
  • Facility Address: 2762 CENTURY BLVD
    WYOMISSING, PA
    ZIP 19610
  • Facility Phone: 610 208-4717
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: IRENE IBANEZ-MANLAPAZ
  • NPI Number: 1700944303
  • Taxonomy: 103TC0700X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 39D1042988
LAB Type Community Clinic
Facility Name BERKS COUNTY VA CLINIC
Street 2762 CENTURY BLVD
City WYOMISSING
State PA
ZIP 19610
Phone 610 208-4717
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 7/13/2005
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director IRENE IBANEZ-MANLAPAZ

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