39D0204747 CLIA NUMBER - LVPG FAMILY MEDICINE- HAMBURG

Laboratory Demographics

  • CLIA Code: 39D0204747
  • Facility Name: LVPG FAMILY MEDICINE- HAMBURG
  • Facility Address: 700 HAWK RIDGE DRIVE
    HAMBURG, PA
    ZIP 19526
  • Facility Phone: 610 562-3066
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. ADAM R. HAYDT
  • NPI Number: 1134218209
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0204747
LAB Type Physician Office
Facility Name LVPG FAMILY MEDICINE- HAMBURG
Street 700 HAWK RIDGE DRIVE
City HAMBURG
State PA
ZIP 19526
Phone 610 562-3066
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 12/2/2024
Certificate Expiration Date 12/1/2026
Facility Type Physician Office
Lab Director DR. ADAM R. HAYDT

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