39D2213233 CLIA NUMBER - POLARIS DETOX, LLC D/B/A INNOVO DETOX

Laboratory Demographics

  • CLIA Code: 39D2213233
  • Facility Name: POLARIS DETOX, LLC D/B/A INNOVO DETOX
  • Facility Address: 7007 YORK ROAD
    ABBOTTSTOWN, PA
    ZIP 17301
  • Facility Phone: 717 864-8729
  • Facility Type: Other - INPATIENT DETOX
  • Facility Type: Waiver
  • Lab Director: DR. RYAN J. WAKIM
  • NPI Number: 1801427687
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D2213233
LAB Type Other - INPATIENT DETOX
Facility Name POLARIS DETOX, LLC D/B/A INNOVO DETOX
Street 7007 YORK ROAD
City ABBOTTSTOWN
State PA
ZIP 17301
Phone 717 864-8729
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2025
Certificate Expiration Date 2/10/2027
Facility Type Other - INPATIENT DETOX
Lab Director DR. RYAN J. WAKIM

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