39D2112949 CLIA NUMBER - CCP HERITAGE

Laboratory Demographics

CLIA Number: 39D2112949

Facility Name: CCP HERITAGE

Facility Address:
3720 MARKET STREET
CAMP HILL, PA
ZIP 17011
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Facility Phone Number: 717 909-4670

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1841758885

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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
CertificateType	4
CertificateEffectiveDate	5/12/2024
CertificateExpirationDate	5/11/2026
FacilityType	Waiver

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