39D2172205 CLIA NUMBER - PENN MEDICINE LGHP UC-NORLANCO

Laboratory Demographics

  • CLIA Code: 39D2172205
  • Facility Name: PENN MEDICINE LGHP UC-NORLANCO
  • Facility Address: 432 CLOVERLEAF ROAD
    ELIZABETHTOWN, PA
    ZIP 17022
  • Facility Phone: 717 544-6350
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. BRIAN A. JONES
  • NPI Number: 1487621975
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2172205
LAB Type Physician Office
Facility Name PENN MEDICINE LGHP UC-NORLANCO
Street 432 CLOVERLEAF ROAD
City ELIZABETHTOWN
State PA
ZIP 17022
Phone 717 544-6350
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/15/2024
Certificate Expiration Date 5/14/2026
Facility Type Physician Office
Lab Director DR. BRIAN A. JONES

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