39D2300002 CLIA NUMBER - WELLSPAN ENDOSCOPY CTR AT BARRETT BLVD

Laboratory Demographics

  • CLIA Code: 39D2300002
  • Facility Name: WELLSPAN ENDOSCOPY CTR AT BARRETT BLVD
  • Facility Address: 4150 BARRETT BLVD
    EPHRATA, PA
    ZIP 17522
  • Facility Phone: 717 859-5160
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. PREMNATH NARAHARI
  • NPI Number: 1861268559
  • Taxonomy: 261QE0800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2300002
LAB Type Ambulatory Surgery Center
Facility Name WELLSPAN ENDOSCOPY CTR AT BARRETT BLVD
Street 4150 BARRETT BLVD
City EPHRATA
State PA
ZIP 17522
Phone 717 859-5160
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2024
Certificate Expiration Date 2/28/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. PREMNATH NARAHARI

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