39D0987570 CLIA NUMBER - ST LUKES NORTHERN VALLEY PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 39D0987570
  • Facility Name: ST LUKES NORTHERN VALLEY PRIMARY CARE
  • Facility Address: 6651 SILVER CREST ROAD
    BATH, PA
    ZIP 18014
  • Facility Phone: 484 526-7265
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IQBAL SORATHIA MD
  • NPI Number: 1659671865
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0987570
LAB Type Physician Office
Facility Name ST LUKES NORTHERN VALLEY PRIMARY CARE
Street 6651 SILVER CREST ROAD
City BATH
State PA
ZIP 18014
Phone 484 526-7265
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2025
Certificate Expiration Date 6/6/2027
Facility Type Physician Office
Lab Director IQBAL SORATHIA MD

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