39D1004685 CLIA NUMBER - COLLEGE HEIGHTS ENDOSCOPY CENTER LLC

Laboratory Demographics

  • CLIA Code: 39D1004685
  • Facility Name: COLLEGE HEIGHTS ENDOSCOPY CENTER LLC
  • Facility Address: 3147 COLLEGE HEIGHTS BOULEVARD
    ALLENTOWN, PA
    ZIP 18104
  • Facility Phone: 610 841-2432
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. SEAN R. LACEY
  • NPI Number: 1780686808
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D1004685
LAB Type Ambulatory Surgery Center
Facility Name COLLEGE HEIGHTS ENDOSCOPY CENTER LLC
Street 3147 COLLEGE HEIGHTS BOULEVARD
City ALLENTOWN
State PA
ZIP 18104
Phone 610 841-2432
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2024
Certificate Expiration Date 10/2/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. SEAN R. LACEY

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