39D2171004 CLIA NUMBER - MILLERSBURG AREA AMBULANCE

Laboratory Demographics

  • CLIA Code: 39D2171004
  • Facility Name: MILLERSBURG AREA AMBULANCE
  • Facility Address: 380 BERRYSBURG RD
    MILLERSBURG, PA
    ZIP 17061
  • Facility Phone: 717 692-2346
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. JEFFREY S. LUBIN
  • NPI Number: 1356343800
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D2171004
LAB Type Ambulatory Surgery Center
Facility Name MILLERSBURG AREA AMBULANCE
Street 380 BERRYSBURG RD
City MILLERSBURG
State PA
ZIP 17061
Phone 717 692-2346
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. JEFFREY S. LUBIN

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