39D2123553 CLIA NUMBER - SENIOR LIFE HARRISBURG

Laboratory Demographics

CLIA Code: 39D2123553
Facility Name: SENIOR LIFE HARRISBURG
Facility Address: 162 NORTH FRONT STREET
STEELTON, PA
ZIP 17113
Facility Phone: 717 757-5433
Facility Type: Other - PACE ORG
Facility Type: Waiver
Lab Director: DR. MEDAPALLY P. REDDY
NPI Number: 1356573406
Taxonomy: 251T00000X - Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

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CLIA Record

Field Name	Field Value
CLIA Number	39D2123553
LAB Type	Other - PACE ORG
Facility Name	SENIOR LIFE HARRISBURG
Street	162 NORTH FRONT STREET
City	STEELTON
State	PA
ZIP	17113
Phone	717 757-5433
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	12/23/2024
Certificate Expiration Date	12/22/2026
Facility Type	Other - PACE ORG
Lab Director	DR. MEDAPALLY P. REDDY

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