39D2046237 CLIA NUMBER - LVPG FAM MED - MACUNGIE

Laboratory Demographics

  • CLIA Code: 39D2046237
  • Facility Name: LVPG FAM MED - MACUNGIE
  • Facility Address: 3371 PA ROUTE 100 SUITE 300
    MACUNGIE, PA
    ZIP 18062
  • Facility Phone: (610) 967-2772
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JOHN BESSADA

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CLIA Record

Field Name Field Value
CLIA Number 39D2046237
LAB Type Physician Office
Facility Name LVPG FAM MED - MACUNGIE
Street 3371 PA ROUTE 100 SUITE 300
City MACUNGIE
State PA
ZIP 18062
Phone 6109672772
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2025
Certificate Expiration Date 9/30/2027
Facility Type Physician Office
Lab Director DR. JOHN BESSADA

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