39D1056662 CLIA NUMBER - BROWNSTONE DERMATOLOGY ASSOCS

Laboratory Demographics

  • CLIA Code: 39D1056662
  • Facility Name: BROWNSTONE DERMATOLOGY ASSOCS
  • Facility Address: 530 WALTON AVENUE
    HUMMELSTOWN, PA
    ZIP 17036
  • Facility Phone: 717 566-6633
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTINE L. MACKLEY
  • NPI Number: 1407881683
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 39D1056662
LAB Type Physician Office
Facility Name BROWNSTONE DERMATOLOGY ASSOCS
Street 530 WALTON AVENUE
City HUMMELSTOWN
State PA
ZIP 17036
Phone 717 566-6633
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2024
Certificate Expiration Date 7/20/2026
Facility Type Physician Office
Lab Director CHRISTINE L. MACKLEY

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