39D2118010 CLIA NUMBER - WELLSPAN DERMATOLOGY

Laboratory Demographics

CLIA Number: 39D2118010

Facility Name: WELLSPAN DERMATOLOGY

Facility Address:
296 ST CHARLES WAY
YORK, PA
ZIP 17402
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Facility Phone Number: 717 812-5050

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1407431588

Taxonomy: 2084N0400X - Psychiatry & Neurology
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

CLIA Record

Field Name	Field Value
CLIA Number	39D2118010
LAB Type	Physician Office
Facility Name	WELLSPAN DERMATOLOGY
Street	296 ST CHARLES WAY
City	YORK
State	PA
ZIP	17402
Phone	717 812-5050
CertificateType	2
CertificateEffectiveDate	10/18/2023
CertificateExpirationDate	10/17/2025
FacilityType	Compliance

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