39D2012741 CLIA NUMBER - LVPG UROLOGY - 1250 CEDAR CREST

Laboratory Demographics

  • CLIA Code: 39D2012741
  • Facility Name: LVPG UROLOGY - 1250 CEDAR CREST
  • Facility Address: 1250 S CEDAR CREST BOULEVARD SUITE 215
    ALLENTOWN, PA
    ZIP 18103
  • Facility Phone: 610 402-9234
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ANGELO A. BACCALA JR
  • NPI Number: 1710208467
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 39D2012741
LAB Type Physician Office
Facility Name LVPG UROLOGY - 1250 CEDAR CREST
Street 1250 S CEDAR CREST BOULEVARD SUITE 215
City ALLENTOWN
State PA
ZIP 18103
Phone 610 402-9234
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DR. ANGELO A. BACCALA JR

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