39D1010111 CLIA NUMBER - LVPG FAM MED - HELLERTOWN

Laboratory Demographics

  • CLIA Code: 39D1010111
  • Facility Name: LVPG FAM MED - HELLERTOWN
  • Facility Address: 708 MAIN STREET SUITE 200
    HELLERTOWN, PA
    ZIP 18055
  • Facility Phone: 610 838-7069
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. TERENCE L. OROURKE
  • NPI Number: 1043382435
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D1010111
LAB Type Physician Office
Facility Name LVPG FAM MED - HELLERTOWN
Street 708 MAIN STREET SUITE 200
City HELLERTOWN
State PA
ZIP 18055
Phone 610 838-7069
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type Physician Office
Lab Director DR. TERENCE L. OROURKE

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