39D2046805 CLIA NUMBER - LVPG FAMILY MEDICINE - WIND GAP

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Laboratory Demographics

CLIA Number: 39D2046805

Facility Name: LVPG FAMILY MEDICINE - WIND GAP

Facility Address:
1411 JACOBSBURG ROAD
WIND GAP, PA
ZIP 18091
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Facility Phone Number: 610 861-8080

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1275285223

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	39D2046805
LAB Type	Physician Office
Facility Name	LVPG FAMILY MEDICINE - WIND GAP
Street	1411 JACOBSBURG ROAD
City	WIND GAP
State	PA
ZIP	18091
Phone	610 861-8080
CertificateType	4
CertificateEffectiveDate	9/12/2022
CertificateExpirationDate	9/11/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024