39D1051087 CLIA NUMBER - LVPG FAM MED - EMMAUS

Laboratory Demographics

  • CLIA Code: 39D1051087
  • Facility Name: LVPG FAM MED - EMMAUS
  • Facility Address: 1040 CHESTNUT STREET
    EMMAUS, PA
    ZIP 18049
  • Facility Phone: (610) 966-5549
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ANTONIO M. COSTA JR

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CLIA Record

Field Name Field Value
CLIA Number 39D1051087
LAB Type Physician Office
Facility Name LVPG FAM MED - EMMAUS
Street 1040 CHESTNUT STREET
City EMMAUS
State PA
ZIP 18049
Phone 6109665549
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2026
Certificate Expiration Date 2/19/2028
Facility Type Physician Office
Lab Director DR. ANTONIO M. COSTA JR

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