39D0205093 CLIA NUMBER - INTEGRATED MEDICAL GROUP PC

Laboratory Demographics

  • CLIA Code: 39D0205093
  • Facility Name: INTEGRATED MEDICAL GROUP PC
  • Facility Address: 2234 PERKIOMEN AVE
    READING, PA
    ZIP 19606
  • Facility Phone: 610 370-2511
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LEIF E. CHRISTIANSEN DO
  • NPI Number: 1184076663
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 39D0205093
LAB Type Physician Office
Facility Name INTEGRATED MEDICAL GROUP PC
Street 2234 PERKIOMEN AVE
City READING
State PA
ZIP 19606
Phone 610 370-2511
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director LEIF E. CHRISTIANSEN DO

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