39D2142289 CLIA NUMBER - WELLSPAN BARIATRIC SURGERY

Laboratory Demographics

  • CLIA Code: 39D2142289
  • Facility Name: WELLSPAN BARIATRIC SURGERY
  • Facility Address: 25 MONUMENT RD, SUITE 105
    YORK, PA
    ZIP 17403
  • Facility Phone: 717 851-7575
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JAMES P. RYAN V
  • NPI Number: 1881762995
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D2142289
LAB Type Physician Office
Facility Name WELLSPAN BARIATRIC SURGERY
Street 25 MONUMENT RD, SUITE 105
City YORK
State PA
ZIP 17403
Phone 717 851-7575
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/23/2023
Certificate Expiration Date 11/22/2025
Facility Type Physician Office
Lab Director DR. JAMES P. RYAN V

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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