39D2104587 CLIA NUMBER - NORTH POINTE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 39D2104587
  • Facility Name: NORTH POINTE SURGERY CENTER
  • Facility Address: 1701 CORNWALL ROAD SUITE 100
    LEBANON, PA
    ZIP 17042
  • Facility Phone: 717 735-6650
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL W. GISH MD
  • NPI Number: 1366647968
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2104587
LAB Type Ambulatory Surgery Center
Facility Name NORTH POINTE SURGERY CENTER
Street 1701 CORNWALL ROAD SUITE 100
City LEBANON
State PA
ZIP 17042
Phone 717 735-6650
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2023
Certificate Expiration Date 11/8/2025
Facility Type Ambulatory Surgery Center
Lab Director DR. MICHAEL W. GISH MD

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