39D2025971 CLIA NUMBER - WELLSPAN URGENT CARE - QUEEN STREET

Laboratory Demographics

  • CLIA Code: 39D2025971
  • Facility Name: WELLSPAN URGENT CARE - QUEEN STREET
  • Facility Address: 2149 S QUEEN STREET
    YORK, PA
    ZIP 17403
  • Facility Phone: 888 520-5860
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CRESTON TATE
  • NPI Number: 1174752539
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2025971
LAB Type Physician Office
Facility Name WELLSPAN URGENT CARE - QUEEN STREET
Street 2149 S QUEEN STREET
City YORK
State PA
ZIP 17403
Phone 888 520-5860
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2025
Certificate Expiration Date 6/21/2027
Facility Type Physician Office
Lab Director DR. CRESTON TATE

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