39D1098195 CLIA NUMBER - GAUDENZIA COMMON GROUND

Laboratory Demographics

  • CLIA Code: 39D1098195
  • Facility Name: GAUDENZIA COMMON GROUND
  • Facility Address: 3740 CHAMBERS HILL ROAD
    HARRISBURG, PA
    ZIP 17111
  • Facility Phone: (717) 238-5553
  • Facility Type: Other - COMMUNITY BASED ORG
  • Facility Type: Waiver
  • Lab Director: DR. BRETT E. WILLS
  • NPI Number: 1508389875
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D1098195
LAB Type Other - COMMUNITY BASED ORG
Facility Name GAUDENZIA COMMON GROUND
Street 3740 CHAMBERS HILL ROAD
City HARRISBURG
State PA
ZIP 17111
Phone 7172385553
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2024
Certificate Expiration Date 11/19/2026
Facility Type Other - COMMUNITY BASED ORG
Lab Director DR. BRETT E. WILLS

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This page was last updated on: 5/18/2026