39D2053251 CLIA NUMBER - HANOVER AREA COUNCIL OF CHURCHES

Laboratory Demographics

  • CLIA Code: 39D2053251
  • Facility Name: HANOVER AREA COUNCIL OF CHURCHES
  • Facility Address: 136 CARLISLE STREET
    HANOVER, PA
    ZIP 17331
  • Facility Phone: 717 633-6353
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. SUSAN D. PECK
  • NPI Number: 1578171666
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 39D2053251
LAB Type Community Clinic
Facility Name HANOVER AREA COUNCIL OF CHURCHES
Street 136 CARLISLE STREET
City HANOVER
State PA
ZIP 17331
Phone 717 633-6353
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2025
Certificate Expiration Date 1/28/2027
Facility Type Community Clinic
Lab Director DR. SUSAN D. PECK

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