39D1012134 CLIA NUMBER - LMG FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 39D1012134
  • Facility Name: LMG FAMILY PRACTICE
  • Facility Address: 1019 SOUTH BROAD STREET
    LANSDALE, PA
    ZIP 19446
  • Facility Phone: 215 361-5090
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LINDA NADWODNY
  • NPI Number: 1114971553
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D1012134
LAB Type Physician Office
Facility Name LMG FAMILY PRACTICE
Street 1019 SOUTH BROAD STREET
City LANSDALE
State PA
ZIP 19446
Phone 215 361-5090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2025
Certificate Expiration Date 5/1/2027
Facility Type Physician Office
Lab Director DR. LINDA NADWODNY

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