39D1078652 CLIA NUMBER - MULTICARE PLUS MAGDIEL GARCIA, OC

Laboratory Demographics

  • CLIA Code: 39D1078652
  • Facility Name: MULTICARE PLUS MAGDIEL GARCIA, OC
  • Facility Address: 225 ERDMAN AVENUE
    BANGOR, PA
    ZIP 18013
  • Facility Phone: 610 588-2225
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JOSEPH G. ANTON
  • NPI Number: 1699159285
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 39D1078652
LAB Type Physician Office
Facility Name MULTICARE PLUS MAGDIEL GARCIA, OC
Street 225 ERDMAN AVENUE
City BANGOR
State PA
ZIP 18013
Phone 610 588-2225
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2024
Certificate Expiration Date 1/13/2026
Facility Type Physician Office
Lab Director DR. JOSEPH G. ANTON

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