39D1009119 CLIA NUMBER - DEVENDRA K AMIN MD PC LABORATORY

Laboratory Demographics

  • CLIA Code: 39D1009119
  • Facility Name: DEVENDRA K AMIN MD PC LABORATORY
  • Facility Address: 3735 NAZARETH ROAD SUITE 302 NORTHWOOD MEDICAL ARTS BUILDING
    EASTON, PA
    ZIP 18045
  • Facility Phone: 610 258-2588
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEVENORA K. AMIN MD
  • NPI Number: 1760452973
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 39D1009119
LAB Type Physician Office
Facility Name DEVENDRA K AMIN MD PC LABORATORY
Street 3735 NAZARETH ROAD SUITE 302 NORTHWOOD MEDICAL ARTS BUILDING
City EASTON
State PA
ZIP 18045
Phone 610 258-2588
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2025
Certificate Expiration Date 2/5/2027
Facility Type Physician Office
Lab Director DEVENORA K. AMIN MD

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