39D0191152 CLIA NUMBER - LVPG ADOLESCENT MEDICINE

Laboratory Demographics

  • CLIA Code: 39D0191152
  • Facility Name: LVPG ADOLESCENT MEDICINE
  • Facility Address: 3080 HAMILTON BLVD, SUITE 200
    ALLENTOWN, PA
    ZIP 18103
  • Facility Phone: 484 661-4642
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. MARIA G. DE LA GUARDIA
  • NPI Number: 1154473668
  • Taxonomy: 2080A0000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D0191152
LAB Type Physician Office
Facility Name LVPG ADOLESCENT MEDICINE
Street 3080 HAMILTON BLVD, SUITE 200
City ALLENTOWN
State PA
ZIP 18103
Phone 484 661-4642
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/22/2024
Certificate Expiration Date 4/21/2026
Facility Type Physician Office
Lab Director DR. MARIA G. DE LA GUARDIA

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