39D1043342 CLIA NUMBER - ALEXANDER SPASIC MD FAMILY MEDICINE LLC

Laboratory Demographics

  • CLIA Code: 39D1043342
  • Facility Name: ALEXANDER SPASIC MD FAMILY MEDICINE LLC
  • Facility Address: 19 BROOKWOOD AVENUE, SUITE 104
    CARLISLE, PA
    ZIP 17015
  • Facility Phone: 717 258-0099
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ALEXANDER SPASIC
  • NPI Number: 1003812132
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D1043342
LAB Type Physician Office
Facility Name ALEXANDER SPASIC MD FAMILY MEDICINE LLC
Street 19 BROOKWOOD AVENUE, SUITE 104
City CARLISLE
State PA
ZIP 17015
Phone 717 258-0099
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2023
Certificate Expiration Date 7/20/2025
Facility Type Physician Office
Lab Director DR. ALEXANDER SPASIC

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This page was last updated on: 6/4/2025