39D2112880 CLIA NUMBER - CCP HUMMELSTOWN

Laboratory Demographics

  • CLIA Code: 39D2112880
  • Facility Name: CCP HUMMELSTOWN
  • Facility Address: 8105 ADAMS DRIVE, SUITE A
    HUMMELSTOWN, PA
    ZIP 17036
  • Facility Phone: 717 652-1211
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CYNTHIA A. ELSNER
  • NPI Number: 1992364475
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 39D2112880
LAB Type Physician Office
Facility Name CCP HUMMELSTOWN
Street 8105 ADAMS DRIVE, SUITE A
City HUMMELSTOWN
State PA
ZIP 17036
Phone 717 652-1211
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2025
Certificate Expiration Date 1/27/2027
Facility Type Physician Office
Lab Director DR. CYNTHIA A. ELSNER

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