39D2060006 CLIA NUMBER - DAUPHIN COUNTY PRISON

Laboratory Demographics

  • CLIA Code: 39D2060006
  • Facility Name: DAUPHIN COUNTY PRISON
  • Facility Address: 501 MALL ROAD
    HARRISBURG, PA
    ZIP 17111
  • Facility Phone: 717 780-6800
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: DR. THEODORE J. DEMETRIOU II
  • NPI Number: 1578892246
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 39D2060006
LAB Type Prison
Facility Name DAUPHIN COUNTY PRISON
Street 501 MALL ROAD
City HARRISBURG
State PA
ZIP 17111
Phone 717 780-6800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/5/2025
Certificate Expiration Date 6/4/2027
Facility Type Prison
Lab Director DR. THEODORE J. DEMETRIOU II

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