39D1076377 CLIA NUMBER - WHITE DEER RUN OF YORK

Laboratory Demographics

  • CLIA Code: 39D1076377
  • Facility Name: WHITE DEER RUN OF YORK
  • Facility Address: 106 DAVIES DRIVE
    YORK, PA
    ZIP 17402
  • Facility Phone: 717 840-2314
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BRANDON M. ROSCOE
  • NPI Number: 1659570299
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 39D1076377
LAB Type Physician Office
Facility Name WHITE DEER RUN OF YORK
Street 106 DAVIES DRIVE
City YORK
State PA
ZIP 17402
Phone 717 840-2314
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2023
Certificate Expiration Date 11/12/2025
Facility Type Physician Office
Lab Director DR. BRANDON M. ROSCOE

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