39D2252639 CLIA NUMBER - KIDSPEACE - COMMUNITY PROGRAMS-BERKS CAMPUS

Laboratory Demographics

  • CLIA Code: 39D2252639
  • Facility Name: KIDSPEACE - COMMUNITY PROGRAMS-BERKS CAMPUS
  • Facility Address: 704 HAY ROAD
    TEMPLE, PA
    ZIP 19560
  • Facility Phone: 610 799-7665
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: DR. DOUGLAS J. BERNE
  • NPI Number: 1083048920
  • Taxonomy: 261QM0855X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2252639
LAB Type School/Student Health Service
Facility Name KIDSPEACE - COMMUNITY PROGRAMS-BERKS CAMPUS
Street 704 HAY ROAD
City TEMPLE
State PA
ZIP 19560
Phone 610 799-7665
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2024
Certificate Expiration Date 2/13/2026
Facility Type School/Student Health Service
Lab Director DR. DOUGLAS J. BERNE

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