39D2315775 CLIA NUMBER - WELLSPAN CITYGATE SURGERY CTR, LLC

Laboratory Demographics

  • CLIA Code: 39D2315775
  • Facility Name: WELLSPAN CITYGATE SURGERY CTR, LLC
  • Facility Address: 35 ERICK ROAD, 1ST FLOOR
    LANCASTER, PA
    ZIP 17601
  • Facility Phone: 717 598-8940
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. JOHN W. MILLER III
  • NPI Number: 1568213908
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2315775
LAB Type Ambulatory Surgery Center
Facility Name WELLSPAN CITYGATE SURGERY CTR, LLC
Street 35 ERICK ROAD, 1ST FLOOR
City LANCASTER
State PA
ZIP 17601
Phone 717 598-8940
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2024
Certificate Expiration Date 12/18/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. JOHN W. MILLER III

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