39D2207297 CLIA NUMBER - CUMBERLAND COUNTY PRISON

Laboratory Demographics

  • CLIA Code: 39D2207297
  • Facility Name: CUMBERLAND COUNTY PRISON
  • Facility Address: 1101 CLAREMONT ROAD
    CARLISLE, PA
    ZIP 17013
  • Facility Phone: 717 245-8763
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: DR. TIMOTHY A. CLARK
  • NPI Number: 1336143023
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D2207297
LAB Type Prison
Facility Name CUMBERLAND COUNTY PRISON
Street 1101 CLAREMONT ROAD
City CARLISLE
State PA
ZIP 17013
Phone 717 245-8763
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2024
Certificate Expiration Date 12/27/2026
Facility Type Prison
Lab Director DR. TIMOTHY A. CLARK

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