39D2207299 CLIA NUMBER - PERRY COUNTY PRISON

Laboratory Demographics

  • CLIA Code: 39D2207299
  • Facility Name: PERRY COUNTY PRISON
  • Facility Address: 300 S CARLISLE ST
    NEW BLOOMFIELD, PA
    ZIP 17068
  • Facility Phone: 717 582-2262
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: DR. JASON R. CROAD
  • NPI Number: 1013305911
  • Taxonomy: 251B00000X - Case Management

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D2207299
LAB Type Prison
Facility Name PERRY COUNTY PRISON
Street 300 S CARLISLE ST
City NEW BLOOMFIELD
State PA
ZIP 17068
Phone 717 582-2262
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. JASON R. CROAD

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