39D1030091 CLIA NUMBER - LEHIGH GASTROENTEROLOGY

Laboratory Demographics

  • CLIA Code: 39D1030091
  • Facility Name: LEHIGH GASTROENTEROLOGY
  • Facility Address: 204 STATE ROAD
    LEHIGHTON, PA
    ZIP 18235
  • Facility Phone: (610) 379-0443
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. AHMED M. HASAN MD
  • NPI Number: 1619961018
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D1030091
LAB Type Physician Office
Facility Name LEHIGH GASTROENTEROLOGY
Street 204 STATE ROAD
City LEHIGHTON
State PA
ZIP 18235
Phone 6103790443
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2024
Certificate Expiration Date 8/30/2026
Facility Type Physician Office
Lab Director DR. AHMED M. HASAN MD

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This page was last updated on: 5/18/2026