39D0912962 CLIA NUMBER - PENNDEL-MIDDLETOWN EMERGENCY SQUAD

Laboratory Demographics

  • CLIA Code: 39D0912962
  • Facility Name: PENNDEL-MIDDLETOWN EMERGENCY SQUAD
  • Facility Address: 616 EAST LINCOLN HIGHWAY
    LANGHORNE, PA
    ZIP 19047
  • Facility Phone: 215 757-2663
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER VASSALLUZZO DO
  • NPI Number: 1619052792
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 39D0912962
LAB Type Other
Facility Name PENNDEL-MIDDLETOWN EMERGENCY SQUAD
Street 616 EAST LINCOLN HIGHWAY
City LANGHORNE
State PA
ZIP 19047
Phone 215 757-2663
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2024
Certificate Expiration Date 3/17/2026
Facility Type Other
Lab Director CHRISTOPHER VASSALLUZZO DO

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