39D2263187 CLIA NUMBER - WELLSPAN GYNECOLOGIC ONCOLOGY

Laboratory Demographics

  • CLIA Code: 39D2263187
  • Facility Name: WELLSPAN GYNECOLOGIC ONCOLOGY
  • Facility Address: 25 MONUMENT ROAD SUITE 295
    YORK, PA
    ZIP 17403
  • Facility Phone: 717 851-6120
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. EAV K. LIM
  • NPI Number: 1982790622
  • Taxonomy: 207VX0201X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 39D2263187
LAB Type Physician Office
Facility Name WELLSPAN GYNECOLOGIC ONCOLOGY
Street 25 MONUMENT ROAD SUITE 295
City YORK
State PA
ZIP 17403
Phone 717 851-6120
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Physician Office
Lab Director DR. EAV K. LIM

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