39D2308682 CLIA NUMBER - WELLSPAN INTERNAL MED - CHAMBERSBURG PARK 5TH AVE

Laboratory Demographics

  • CLIA Code: 39D2308682
  • Facility Name: WELLSPAN INTERNAL MED - CHAMBERSBURG PARK 5TH AVE
  • Facility Address: 761 FIFTH AVE, SUITE A
    CHAMBERSBURG, PA
    ZIP 17201
  • Facility Phone: 717 261-2583
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. YOGINDRA S. BALHARA
  • NPI Number: 1386429702
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2308682
LAB Type Physician Office
Facility Name WELLSPAN INTERNAL MED - CHAMBERSBURG PARK 5TH AVE
Street 761 FIFTH AVE, SUITE A
City CHAMBERSBURG
State PA
ZIP 17201
Phone 717 261-2583
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2024
Certificate Expiration Date 7/31/2026
Facility Type Physician Office
Lab Director DR. YOGINDRA S. BALHARA

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