39D0190014 CLIA NUMBER - LVPG FAM MED - EASTON AVE

Laboratory Demographics

  • CLIA Code: 39D0190014
  • Facility Name: LVPG FAM MED - EASTON AVE
  • Facility Address: 3024 EASTON AVENUE
    BETHLEHEM, PA
    ZIP 18017
  • Facility Phone: 610 694-1000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CARA L. CORPORA
  • NPI Number: 1538176623
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0190014
LAB Type Physician Office
Facility Name LVPG FAM MED - EASTON AVE
Street 3024 EASTON AVENUE
City BETHLEHEM
State PA
ZIP 18017
Phone 610 694-1000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2025
Certificate Expiration Date 9/30/2027
Facility Type Physician Office
Lab Director DR. CARA L. CORPORA

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