39D1098826 CLIA NUMBER - GOOD SAM CTR FOR W C HYPER MED

Laboratory Demographics

  • CLIA Code: 39D1098826
  • Facility Name: GOOD SAM CTR FOR W C HYPER MED
  • Facility Address: 840 TUCK STREET
    LEBANON, PA
    ZIP 17042
  • Facility Phone: 717 675-2545
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DR. DAVID A. BIGATEL
  • NPI Number: 1295163293
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 39D1098826
LAB Type Other
Facility Name GOOD SAM CTR FOR W C HYPER MED
Street 840 TUCK STREET
City LEBANON
State PA
ZIP 17042
Phone 717 675-2545
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2025
Certificate Expiration Date 4/28/2027
Facility Type Other
Lab Director DR. DAVID A. BIGATEL

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