39D2255075 CLIA NUMBER - WS UROGYN & PELVIC RECON SURG - EPHRATA

Laboratory Demographics

  • CLIA Code: 39D2255075
  • Facility Name: WS UROGYN & PELVIC RECON SURG - EPHRATA
  • Facility Address: 175 MARTIN AVE
    EPHRATA, PA
    ZIP 17522
  • Facility Phone: 717 466-5420
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. PATRICIA L. HUDSON
  • NPI Number: 1548735103
  • Taxonomy: 207T00000X - Neurological Surgery

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CLIA Record

Field Name Field Value
CLIA Number 39D2255075
LAB Type Physician Office
Facility Name WS UROGYN & PELVIC RECON SURG - EPHRATA
Street 175 MARTIN AVE
City EPHRATA
State PA
ZIP 17522
Phone 717 466-5420
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2024
Certificate Expiration Date 3/9/2026
Facility Type Physician Office
Lab Director DR. PATRICIA L. HUDSON

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