39D2157574 CLIA NUMBER - LGHP PENNMED DIAB&ENDOCR KISSEL

Laboratory Demographics

  • CLIA Code: 39D2157574
  • Facility Name: LGHP PENNMED DIAB&ENDOCR KISSEL
  • Facility Address: 51 PETERS ROAD, 204
    LITITZ, PA
    ZIP 17543
  • Facility Phone: 717 627-8225
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MEIJUAN YAN
  • NPI Number: 1164405593
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2157574
LAB Type Physician Office
Facility Name LGHP PENNMED DIAB&ENDOCR KISSEL
Street 51 PETERS ROAD, 204
City LITITZ
State PA
ZIP 17543
Phone 717 627-8225
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type Physician Office
Lab Director DR. MEIJUAN YAN

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