39D1054712 CLIA NUMBER - ST LUKES NORTHGATE INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 39D1054712
  • Facility Name: ST LUKES NORTHGATE INTERNAL MEDICINE
  • Facility Address: 1130 DELAWARE AVENUE
    BETHLEHEM, PA
    ZIP 18015
  • Facility Phone: 610 868-2710
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAUSHIK KUNDU MD
  • NPI Number: 1568072866
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D1054712
LAB Type Physician Office
Facility Name ST LUKES NORTHGATE INTERNAL MEDICINE
Street 1130 DELAWARE AVENUE
City BETHLEHEM
State PA
ZIP 18015
Phone 610 868-2710
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/30/2024
Certificate Expiration Date 5/29/2026
Facility Type Physician Office
Lab Director KAUSHIK KUNDU MD

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