39D2097266 CLIA NUMBER - KEYSTONE EYE CARE GROUP LLC

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Laboratory Demographics

CLIA Number: 39D2097266

Facility Name: KEYSTONE EYE CARE GROUP LLC

Facility Address:
1600 SIXTH AVE SUITE 113
YORK, PA
ZIP 17403
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Facility Phone Number: 717 718-2393

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1952853376

Taxonomy: 2081P2900X - Physical Medicine & Rehabilitation
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

CLIA Record

Field Name	Field Value
CLIA Number	39D2097266
LAB Type	Physician Office
Facility Name	KEYSTONE EYE CARE GROUP LLC
Street	1600 SIXTH AVE SUITE 113
City	YORK
State	PA
ZIP	17403
Phone	717 718-2393
CertificateType	4
CertificateEffectiveDate	6/11/2023
CertificateExpirationDate	6/10/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024