39D0190498 CLIA NUMBER - LVPG FAM MED - LAURYS STATION

Laboratory Demographics

  • CLIA Code: 39D0190498
  • Facility Name: LVPG FAM MED - LAURYS STATION
  • Facility Address: 5649 WYNNEWOOD DRIVE, SUITE 203
    LAURYS STATION, PA
    ZIP 18059
  • Facility Phone: (610) 261-1123
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DANIEL SPATZ MD

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CLIA Record

Field Name Field Value
CLIA Number 39D0190498
LAB Type Physician Office
Facility Name LVPG FAM MED - LAURYS STATION
Street 5649 WYNNEWOOD DRIVE, SUITE 203
City LAURYS STATION
State PA
ZIP 18059
Phone 6102611123
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2025
Certificate Expiration Date 12/31/2026
Facility Type Physician Office
Lab Director DR. DANIEL SPATZ MD

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This page was last updated on: 5/18/2026