39D2087089 CLIA NUMBER - PRIMARY HEALTH - LEWISTOWN COMM HEALTH

Laboratory Demographics

  • CLIA Code: 39D2087089
  • Facility Name: PRIMARY HEALTH - LEWISTOWN COMM HEALTH
  • Facility Address: 106 DERRY HEIGHTS BLVD SUITE 100
    LEWISTOWN, PA
    ZIP 17044
  • Facility Phone: 717 447-0340
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. PATRICIA A. FARLEY
  • NPI Number: 1043704513
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2087089
LAB Type Federally Qualified Health Center
Facility Name PRIMARY HEALTH - LEWISTOWN COMM HEALTH
Street 106 DERRY HEIGHTS BLVD SUITE 100
City LEWISTOWN
State PA
ZIP 17044
Phone 717 447-0340
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2024
Certificate Expiration Date 11/17/2026
Facility Type Federally Qualified Health Center
Lab Director DR. PATRICIA A. FARLEY

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