39D2124136 CLIA NUMBER - PENN MEDICINE LGHP FM ABBEYVILLE

Laboratory Demographics

  • CLIA Code: 39D2124136
  • Facility Name: PENN MEDICINE LGHP FM ABBEYVILLE
  • Facility Address: 2128 EMBASSY DRIVE
    LANCASTER, PA
    ZIP 17603
  • Facility Phone: 717 291-5991
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. CATHERINE L. MAIN
  • NPI Number: 1023003647
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2124136
LAB Type Physician Office
Facility Name PENN MEDICINE LGHP FM ABBEYVILLE
Street 2128 EMBASSY DRIVE
City LANCASTER
State PA
ZIP 17603
Phone 717 291-5991
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/10/2025
Certificate Expiration Date 1/9/2027
Facility Type Physician Office
Lab Director DR. CATHERINE L. MAIN

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