39D0190650 CLIA NUMBER - LVPG FAM MED - TREXLERTOWN

Laboratory Demographics

  • CLIA Code: 39D0190650
  • Facility Name: LVPG FAM MED - TREXLERTOWN
  • Facility Address: 6900 HAMILTON BOULEVARD PO BOX 127
    TREXLERTOWN, PA
    ZIP 18087
  • Facility Phone: 610 402-0101
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MELISSA A. TAYLOR
  • NPI Number: 1932291176
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0190650
LAB Type Physician Office
Facility Name LVPG FAM MED - TREXLERTOWN
Street 6900 HAMILTON BOULEVARD PO BOX 127
City TREXLERTOWN
State PA
ZIP 18087
Phone 610 402-0101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director DR. MELISSA A. TAYLOR

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