39D2065595 CLIA NUMBER - LEHIGH VALLEY EYE CENTER, PC

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Laboratory Demographics

CLIA Number: 39D2065595

Facility Name: LEHIGH VALLEY EYE CENTER, PC

Facility Address:
2790 MOSSIDE BOULEVARD, SUITE 200
MONROEVILLE, PA
ZIP 15146
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Facility Phone Number: 516 804-5200

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1356330369

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	39D2065595
LAB Type	Physician Office
Facility Name	LEHIGH VALLEY EYE CENTER, PC
Street	2790 MOSSIDE BOULEVARD, SUITE 200
City	MONROEVILLE
State	PA
ZIP	15146
Phone	516 804-5200
CertificateType	4
CertificateEffectiveDate	9/11/2023
CertificateExpirationDate	9/10/2025
FacilityType	Waiver

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