39D2052299 CLIA NUMBER - ALBRIGHT LIFE - CUMBERLAND

Laboratory Demographics

CLIA Code: 39D2052299
Facility Name: ALBRIGHT LIFE - CUMBERLAND
Facility Address: 1920 GOOD HOPE ROAD
ENOLA, PA
ZIP 17025
Facility Phone: 717 728-5433
Facility Type: Other - PACE
Facility Type: Waiver
Lab Director: DR. JORGE DIDUSZYN
NPI Number: 1740467570
Taxonomy: 251T00000X - Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

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CLIA Record

Field Name	Field Value
CLIA Number	39D2052299
LAB Type	Other - PACE
Facility Name	ALBRIGHT LIFE - CUMBERLAND
Street	1920 GOOD HOPE ROAD
City	ENOLA
State	PA
ZIP	17025
Phone	717 728-5433
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	1/8/2025
Certificate Expiration Date	1/7/2027
Facility Type	Other - PACE
Lab Director	DR. JORGE DIDUSZYN

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