39D0190564 CLIA NUMBER - LVPG FAMILY MED - OREFIELD

Laboratory Demographics

  • CLIA Code: 39D0190564
  • Facility Name: LVPG FAMILY MED - OREFIELD
  • Facility Address: 5074 KERNSVILLE ROAD
    OREFIELD, PA
    ZIP 18069
  • Facility Phone: 610 395-1993
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RAJI SRINIVASAN
  • NPI Number: 1023346285
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0190564
LAB Type Physician Office
Facility Name LVPG FAMILY MED - OREFIELD
Street 5074 KERNSVILLE ROAD
City OREFIELD
State PA
ZIP 18069
Phone 610 395-1993
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. RAJI SRINIVASAN

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