39D2112949 CLIA NUMBER - CCP HERITAGE

Laboratory Demographics

  • CLIA Code: 39D2112949
  • Facility Name: CCP HERITAGE
  • Facility Address: 3720 MARKET STREET
    CAMP HILL, PA
    ZIP 17011
  • Facility Phone: 717 909-4670
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ANDREA L. BURKS
  • NPI Number: 1841758885
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 39D2112949
LAB Type Physician Office
Facility Name CCP HERITAGE
Street 3720 MARKET STREET
City CAMP HILL
State PA
ZIP 17011
Phone 717 909-4670
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2024
Certificate Expiration Date 5/11/2026
Facility Type Physician Office
Lab Director DR. ANDREA L. BURKS

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