39D0190471 CLIA NUMBER - LVPG FAMILY MED - WHITEHALL

Laboratory Demographics

  • CLIA Code: 39D0190471
  • Facility Name: LVPG FAMILY MED - WHITEHALL
  • Facility Address: 3691 CRESCENT COURT EAST
    WHITEHALL, PA
    ZIP 18052
  • Facility Phone: 610 434-9561
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JOSEPH F. CIECKO
  • NPI Number: 1245568401
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D0190471
LAB Type Physician Office
Facility Name LVPG FAMILY MED - WHITEHALL
Street 3691 CRESCENT COURT EAST
City WHITEHALL
State PA
ZIP 18052
Phone 610 434-9561
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2024
Certificate Expiration Date 7/27/2026
Facility Type Physician Office
Lab Director DR. JOSEPH F. CIECKO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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