39D0934564 CLIA NUMBER - KENNETH G RYDER MD

Laboratory Demographics

  • CLIA Code: 39D0934564
  • Facility Name: KENNETH G RYDER MD
  • Facility Address: 4955 ROUTE 873 SUITE B
    SCHNECKSVILLE, PA
    ZIP 18078
  • Facility Phone: (610) 799-4100
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KENNETH G. RYDER MD
  • NPI Number: 1003050790
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0934564
LAB Type Physician Office
Facility Name KENNETH G RYDER MD
Street 4955 ROUTE 873 SUITE B
City SCHNECKSVILLE
State PA
ZIP 18078
Phone 6107994100
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 10/8/2025
Certificate Expiration Date 10/7/2027
Facility Type Physician Office
Lab Director KENNETH G. RYDER MD

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This page was last updated on: 5/18/2026