39D0999506 CLIA NUMBER - WHITEHALL MEDICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 39D0999506
  • Facility Name: WHITEHALL MEDICAL ASSOCIATES
  • Facility Address: 525 5TH STREET
    WHITEHALL, PA
    ZIP 18052
  • Facility Phone: 610 434-6678
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: WAEL YACOUB MD
  • NPI Number: 1639168701
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 39D0999506
LAB Type Physician Office
Facility Name WHITEHALL MEDICAL ASSOCIATES
Street 525 5TH STREET
City WHITEHALL
State PA
ZIP 18052
Phone 610 434-6678
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 5/15/2024
Certificate Expiration Date 5/14/2026
Facility Type Physician Office
Lab Director WAEL YACOUB MD

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