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39D2008244 CLIA NUMBER - PENN STATE HARRISBURG STUDENT HEALTH SERVICES

Laboratory Demographics

CLIA Number: 39D2008244

Facility Name: PENN STATE HARRISBURG STUDENT HEALTH SERVICES

Facility Address:
777 WEST HARRISBURG PIKE PSH 220 CUB ROOM 225
MIDDLETOWN, PA
ZIP 17057
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Facility Phone Number: 717 948-6015

Facility Type: School/Student Health Service

Certificate Type: Waiver
NPI Number: 1174598791

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 39D2008244
LAB Type School/Student Health Service
Facility Name PENN STATE HARRISBURG STUDENT HEALTH SERVICES
Street 777 WEST HARRISBURG PIKE PSH 220 CUB ROOM 225
City MIDDLETOWN
State PA
ZIP 17057
Phone 717 948-6015
CertificateType 4
CertificateEffectiveDate 6/8/2022
CertificateExpirationDate 6/7/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024