39D2310744 CLIA NUMBER - HERSHEY PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 39D2310744
  • Facility Name: HERSHEY PRIMARY CARE
  • Facility Address: 515 REAR W CHOCOLATE AVE #200
    HERSHEY, PA
    ZIP 17033
  • Facility Phone: 717 256-1457
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LAUREN DOLINER
  • NPI Number: 1003647140
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2310744
LAB Type Physician Office
Facility Name HERSHEY PRIMARY CARE
Street 515 REAR W CHOCOLATE AVE #200
City HERSHEY
State PA
ZIP 17033
Phone 717 256-1457
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/10/2024
Certificate Expiration Date 9/9/2026
Facility Type Physician Office
Lab Director DR. LAUREN DOLINER

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This page was last updated on: 6/4/2025