39D1093644 CLIA NUMBER - WALNUT BOTTOM FAMILY PRACTICE LLC LISA C. MYERS DO

Laboratory Demographics

  • CLIA Code: 39D1093644
  • Facility Name: WALNUT BOTTOM FAMILY PRACTICE LLC LISA C. MYERS DO
  • Facility Address: 103 N BALTIMORE AVE
    MOUNT HOLLY SPRINGS, PA
    ZIP 17065
  • Facility Phone: 717 960-0052
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LISA MYERS DO
  • NPI Number: 1437455458
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D1093644
LAB Type Physician Office
Facility Name WALNUT BOTTOM FAMILY PRACTICE LLC LISA C. MYERS DO
Street 103 N BALTIMORE AVE
City MOUNT HOLLY SPRINGS
State PA
ZIP 17065
Phone 717 960-0052
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/29/2024
Certificate Expiration Date 12/28/2026
Facility Type Physician Office
Lab Director LISA MYERS DO

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