39D2281731 CLIA NUMBER - BOLD STEPS OF PA

Laboratory Demographics

  • CLIA Code: 39D2281731
  • Facility Name: BOLD STEPS OF PA
  • Facility Address: 4755 LINGLESTOWN RD, SUITE 402-404
    HARRISBURG, PA
    ZIP 17112
  • Facility Phone: 929 276-5345
  • Facility Type: Other - OUTPATIENT D&A FACILITY
  • Facility Type: Waiver
  • Lab Director: DR. LETITIA A. COVACI
  • NPI Number: 1437881042
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2281731
LAB Type Other - OUTPATIENT D&A FACILITY
Facility Name BOLD STEPS OF PA
Street 4755 LINGLESTOWN RD, SUITE 402-404
City HARRISBURG
State PA
ZIP 17112
Phone 929 276-5345
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2023
Certificate Expiration Date 5/10/2025
Facility Type Other - OUTPATIENT D&A FACILITY
Lab Director DR. LETITIA A. COVACI

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This page was last updated on: 3/20/2025