39D1029239 CLIA NUMBER - GRAND VIEW HEALTH PRIMARY CARE LEDERACH

Laboratory Demographics

  • CLIA Code: 39D1029239
  • Facility Name: GRAND VIEW HEALTH PRIMARY CARE LEDERACH
  • Facility Address: 658 HARLEYSVILLE PIKE SUITE 120
    HARLEYSVILLE, PA
    ZIP 19438
  • Facility Phone: 215 256-9655
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUZANN SZEWCZAK DO
  • NPI Number: 1588137525
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 39D1029239
LAB Type Physician Office
Facility Name GRAND VIEW HEALTH PRIMARY CARE LEDERACH
Street 658 HARLEYSVILLE PIKE SUITE 120
City HARLEYSVILLE
State PA
ZIP 19438
Phone 215 256-9655
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Physician Office
Lab Director SUZANN SZEWCZAK DO

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