39D2070805 CLIA NUMBER - LVPG FAM MED - NAZARETH

Laboratory Demographics

  • CLIA Code: 39D2070805
  • Facility Name: LVPG FAM MED - NAZARETH
  • Facility Address: 863 NAZARETH PIKE
    NAZARETH, PA
    ZIP 18064
  • Facility Phone: 484 373-3260
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KATE H. AGRESTI DO
  • NPI Number: 1780011692
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D2070805
LAB Type Physician Office
Facility Name LVPG FAM MED - NAZARETH
Street 863 NAZARETH PIKE
City NAZARETH
State PA
ZIP 18064
Phone 484 373-3260
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/24/2023
Certificate Expiration Date 12/23/2025
Facility Type Physician Office
Lab Director DR. KATE H. AGRESTI DO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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