39D2177025 CLIA NUMBER - WELLSPAN URGENT CARE - MANCHESTER

Laboratory Demographics

CLIA Number: 39D2177025

Facility Name: WELLSPAN URGENT CARE - MANCHESTER

Facility Address:
4050 N GEORGE ST EXT
MANCHESTER, PA
ZIP 17345
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Facility Phone Number: 717 356-7370

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1558914242

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	39D2177025
LAB Type	Physician Office
Facility Name	WELLSPAN URGENT CARE - MANCHESTER
Street	4050 N GEORGE ST EXT
City	MANCHESTER
State	PA
ZIP	17345
Phone	717 356-7370
CertificateType	4
CertificateEffectiveDate	1/2/2024
CertificateExpirationDate	1/1/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024