39D0934466 CLIA NUMBER - LVPG FAM & INT MED - BETHLEHEM TWP

Laboratory Demographics

  • CLIA Code: 39D0934466
  • Facility Name: LVPG FAM & INT MED - BETHLEHEM TWP
  • Facility Address: 2101 EMRICK BLVD SUITE 100
    BETHLEHEM, PA
    ZIP 18020
  • Facility Phone: 610 868-4000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JENNIFER L. KELLER
  • NPI Number: 1699837773
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0934466
LAB Type Physician Office
Facility Name LVPG FAM & INT MED - BETHLEHEM TWP
Street 2101 EMRICK BLVD SUITE 100
City BETHLEHEM
State PA
ZIP 18020
Phone 610 868-4000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2024
Certificate Expiration Date 11/30/2026
Facility Type Physician Office
Lab Director DR. JENNIFER L. KELLER

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