39D0998150 CLIA NUMBER - LEWISBURG PLASTIC SURGERY AND LASER CENTER

Laboratory Demographics

  • CLIA Code: 39D0998150
  • Facility Name: LEWISBURG PLASTIC SURGERY AND LASER CENTER
  • Facility Address: 135 WALTER DRIVE
    LEWISBURG, PA
    ZIP 17837
  • Facility Phone: 570 524-7777
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. ALEXANDER P. MOYA
  • NPI Number: 1154702835
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D0998150
LAB Type Ambulatory Surgery Center
Facility Name LEWISBURG PLASTIC SURGERY AND LASER CENTER
Street 135 WALTER DRIVE
City LEWISBURG
State PA
ZIP 17837
Phone 570 524-7777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2024
Certificate Expiration Date 4/7/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. ALEXANDER P. MOYA

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