39D0204768 CLIA NUMBER - LVPG FAMILY MEDICINE - KUTZTOWN

Laboratory Demographics

  • CLIA Code: 39D0204768
  • Facility Name: LVPG FAMILY MEDICINE - KUTZTOWN
  • Facility Address: 333 NORMAL AVENUE SUITE 201
    KUTZTOWN, PA
    ZIP 19530
  • Facility Phone: 610 683-8363
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. GLENN T. ELLIOTT
  • NPI Number: 1154493526
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0204768
LAB Type Physician Office
Facility Name LVPG FAMILY MEDICINE - KUTZTOWN
Street 333 NORMAL AVENUE SUITE 201
City KUTZTOWN
State PA
ZIP 19530
Phone 610 683-8363
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2025
Certificate Expiration Date 9/13/2027
Facility Type Physician Office
Lab Director DR. GLENN T. ELLIOTT

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