39D2266891 CLIA NUMBER - WELLSPAN BELL AND EVANS WELLNESS CENTER

Laboratory Demographics

CLIA Number: 39D2266891

Facility Name: WELLSPAN BELL AND EVANS WELLNESS CENTER

Facility Address:
2972 US HIGHWAY 22
FREDERICKSBURG, PA
ZIP 17026
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Facility Phone Number: 717 820-4605

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1720785173

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	39D2266891
LAB Type	Practitioner Other
Facility Name	WELLSPAN BELL AND EVANS WELLNESS CENTER
Street	2972 US HIGHWAY 22
City	FREDERICKSBURG
State	PA
ZIP	17026
Phone	717 820-4605
CertificateType	4
CertificateEffectiveDate	8/17/2022
CertificateExpirationDate	8/16/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024