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39D1001209 CLIA NUMBER - ST LUKES NORTHERN VALLEY PRIMARY CARE

Laboratory Demographics

CLIA Number: 39D1001209

Facility Name: ST LUKES NORTHERN VALLEY PRIMARY CARE

Facility Address:
602 E 21ST ST SUITE 400
NORTHAMPTON, PA
ZIP 18067
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Facility Phone Number: 610 261-0999

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1942848023

Taxonomy: 104100000X - Social Worker
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

CLIA Record

Field Name Field Value
CLIA Number 39D1001209
LAB Type Physician Office
Facility Name ST LUKES NORTHERN VALLEY PRIMARY CARE
Street 602 E 21ST ST SUITE 400
City NORTHAMPTON
State PA
ZIP 18067
Phone 610 261-0999
CertificateType 4
CertificateEffectiveDate 7/3/2022
CertificateExpirationDate 7/2/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024