39D0989451 CLIA NUMBER - COLON RECTAL SURGERY ASSOCIATES

Laboratory Demographics

  • CLIA Code: 39D0989451
  • Facility Name: COLON RECTAL SURGERY ASSOCIATES
  • Facility Address: 1255 S CEDAR CREST BLVD SUITE 3900
    ALLENTOWN, PA
    ZIP 18103
  • Facility Phone: 610 402-1095
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MIKHAIL I. RAKHMANINE MD
  • NPI Number: 1629027388
  • Taxonomy: 208C00000X - Colon & Rectal Surgery

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CLIA Record

Field Name Field Value
CLIA Number 39D0989451
LAB Type Physician Office
Facility Name COLON RECTAL SURGERY ASSOCIATES
Street 1255 S CEDAR CREST BLVD SUITE 3900
City ALLENTOWN
State PA
ZIP 18103
Phone 610 402-1095
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2025
Certificate Expiration Date 9/20/2027
Facility Type Physician Office
Lab Director DR. MIKHAIL I. RAKHMANINE MD

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