39D2087341 CLIA NUMBER - CONVENIENTCARE LEWISTOWN

Laboratory Demographics

  • CLIA Code: 39D2087341
  • Facility Name: CONVENIENTCARE LEWISTOWN
  • Facility Address: 224 N LOGAN BLVD SUITE 100
    BURNHAM, PA
    ZIP 17009
  • Facility Phone: 717 242-0196
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: DR. MANDEEP DHILON
  • NPI Number: 1215217377
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2087341
LAB Type Rural Health Clinic
Facility Name CONVENIENTCARE LEWISTOWN
Street 224 N LOGAN BLVD SUITE 100
City BURNHAM
State PA
ZIP 17009
Phone 717 242-0196
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2024
Certificate Expiration Date 11/20/2026
Facility Type Rural Health Clinic
Lab Director DR. MANDEEP DHILON

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