39D2147116 CLIA NUMBER - UPMC COMMUNITY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 39D2147116
  • Facility Name: UPMC COMMUNITY SURGERY CENTER
  • Facility Address: 815 SIR THOMAS COURT, SUITE 100
    HARRISBURG, PA
    ZIP 17109
  • Facility Phone: 717 888-9035
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. THOMAS R. CLEMENTS
  • NPI Number: 1215817648
  • Taxonomy: 204C00000X - Neuromusculoskeletal Medicine, Sports Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2147116
LAB Type Ambulatory Surgery Center
Facility Name UPMC COMMUNITY SURGERY CENTER
Street 815 SIR THOMAS COURT, SUITE 100
City HARRISBURG
State PA
ZIP 17109
Phone 717 888-9035
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2024
Certificate Expiration Date 4/12/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. THOMAS R. CLEMENTS

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