39D0936514 CLIA NUMBER - RICHARD LIZAK, DO

Laboratory Demographics

  • CLIA Code: 39D0936514
  • Facility Name: RICHARD LIZAK, DO
  • Facility Address: 281 NORTH 12TH STREET, SUITE B
    LEHIGHTON, PA
    ZIP 18235
  • Facility Phone: 610 377-7793
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RICHARD LIZAK
  • NPI Number: 1972552370
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0936514
LAB Type Physician Office
Facility Name RICHARD LIZAK, DO
Street 281 NORTH 12TH STREET, SUITE B
City LEHIGHTON
State PA
ZIP 18235
Phone 610 377-7793
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/24/2023
Certificate Expiration Date 11/23/2025
Facility Type Physician Office
Lab Director DR. RICHARD LIZAK

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