39D0190074 CLIA NUMBER - SOUTH BETHLEHEM INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 39D0190074
  • Facility Name: SOUTH BETHLEHEM INTERNAL MEDICINE
  • Facility Address: 306 S NEW ST, SUITE 302
    BETHLEHEM, PA
    ZIP 18015
  • Facility Phone: 484 526-7925
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. PAUL M. LE
  • NPI Number: 1578816187
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D0190074
LAB Type Physician Office
Facility Name SOUTH BETHLEHEM INTERNAL MEDICINE
Street 306 S NEW ST, SUITE 302
City BETHLEHEM
State PA
ZIP 18015
Phone 484 526-7925
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DR. PAUL M. LE

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