39D2132251 CLIA NUMBER - AIDS RESOURCE

Laboratory Demographics

  • CLIA Code: 39D2132251
  • Facility Name: AIDS RESOURCE
  • Facility Address: 500 W 3RD ST
    WILLIAMSPORT, PA
    ZIP 17701
  • Facility Phone: 570 322-8448
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. ANDREW HAUSSMANN
  • NPI Number: 1558521724
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2132251
LAB Type Community Clinic
Facility Name AIDS RESOURCE
Street 500 W 3RD ST
City WILLIAMSPORT
State PA
ZIP 17701
Phone 570 322-8448
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2025
Certificate Expiration Date 6/14/2027
Facility Type Community Clinic
Lab Director DR. ANDREW HAUSSMANN

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