39D0716764 CLIA NUMBER - BAILEY HEALTH CENTER

Laboratory Demographics

CLIA Number: 39D0716764

Facility Name: BAILEY HEALTH CENTER

Facility Address:
607 HIGH STREET
EASTON, PA
ZIP 18042
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Facility Phone Number: 610 250-5001

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1629151956

Taxonomy: 332900000X - Non-Pharmacy Dispensing Site
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

CLIA Record

Field Name	Field Value
CLIA Number	39D0716764
LAB Type	School/Student Health Service
Facility Name	BAILEY HEALTH CENTER
Street	607 HIGH STREET
City	EASTON
State	PA
ZIP	18042
Phone	610 250-5001
CertificateType	4
CertificateEffectiveDate	11/19/2022
CertificateExpirationDate	11/18/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024