39D0196598 CLIA NUMBER - MICHAEL MOOREVILLE MD LAB

Laboratory Demographics

  • CLIA Code: 39D0196598
  • Facility Name: MICHAEL MOOREVILLE MD LAB
  • Facility Address: 272 N LANSDOWNE AVE
    LANSDOWNE, PA
    ZIP 19050
  • Facility Phone: 610 259-3434
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MICHAEL MOOREVILLE MD
  • NPI Number: 1619989696
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 39D0196598
LAB Type Physician Office
Facility Name MICHAEL MOOREVILLE MD LAB
Street 272 N LANSDOWNE AVE
City LANSDOWNE
State PA
ZIP 19050
Phone 610 259-3434
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 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Physician Office
Lab Director MICHAEL MOOREVILLE MD

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