39D0695849 CLIA NUMBER - MICHAEL F BENAVAGE MD

Laboratory Demographics

  • CLIA Code: 39D0695849
  • Facility Name: MICHAEL F BENAVAGE MD
  • Facility Address: 1400 MAIN STREET
    CATASAUQUA, PA
    ZIP 18032
  • Facility Phone: 610 264-0411
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MICHAEL F. BENAVAGE MD
  • NPI Number: 1437100500
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0695849
LAB Type Physician Office
Facility Name MICHAEL F BENAVAGE MD
Street 1400 MAIN STREET
City CATASAUQUA
State PA
ZIP 18032
Phone 610 264-0411
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 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type Physician Office
Lab Director MICHAEL F. BENAVAGE MD

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