39D2108193 CLIA NUMBER - LANCASTER GENERAL COUNTY LINE LAB TESTING

Laboratory Demographics

  • CLIA Code: 39D2108193
  • Facility Name: LANCASTER GENERAL COUNTY LINE LAB TESTING
  • Facility Address: VILLAGE AT GAP 5360 LINCOLN HIGHWAY EAST SUITE 15
    GAP, PA
    ZIP 17527
  • Facility Phone: 717 544-4331
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: DR. MONDRAYA F. HOWARD
  • NPI Number: 1922037126
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2108193
LAB Type Independent
Facility Name LANCASTER GENERAL COUNTY LINE LAB TESTING
Street VILLAGE AT GAP 5360 LINCOLN HIGHWAY EAST SUITE 15
City GAP
State PA
ZIP 17527
Phone 717 544-4331
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2024
Certificate Expiration Date 1/31/2026
Facility Type Independent
Lab Director DR. MONDRAYA F. HOWARD

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