39D1064126 CLIA NUMBER - CUMBERLAND VALLEY PAROCHIAL MED CLINIC

Laboratory Demographics

  • CLIA Code: 39D1064126
  • Facility Name: CUMBERLAND VALLEY PAROCHIAL MED CLINIC
  • Facility Address: 411 S FAYETTE STREET
    SHIPPENSBURG, PA
    ZIP 17257
  • Facility Phone: 717 530-1698
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TIMOTHY B. STONESIFER DO
  • NPI Number: 1922394873
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 39D1064126
LAB Type Physician Office
Facility Name CUMBERLAND VALLEY PAROCHIAL MED CLINIC
Street 411 S FAYETTE STREET
City SHIPPENSBURG
State PA
ZIP 17257
Phone 717 530-1698
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2025
Certificate Expiration Date 1/29/2027
Facility Type Physician Office
Lab Director TIMOTHY B. STONESIFER DO

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