39D2326050 CLIA NUMBER - WELLSPAN DERMATOLOGY - YORK

Laboratory Demographics

  • CLIA Code: 39D2326050
  • Facility Name: WELLSPAN DERMATOLOGY - YORK
  • Facility Address: 302 ST CHARLES WAY
    YORK, PA
    ZIP 17402
  • Facility Phone: 717 812-5050
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. PAUL LEIPHART
  • NPI Number: 1215524913
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2326050
LAB Type Physician Office
Facility Name WELLSPAN DERMATOLOGY - YORK
Street 302 ST CHARLES WAY
City YORK
State PA
ZIP 17402
Phone 717 812-5050
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/26/2025
Certificate Expiration Date 6/25/2027
Facility Type Physician Office
Lab Director DR. PAUL LEIPHART

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