39D2070805 CLIA NUMBER - LVPG FAM MED - NAZARETH

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Laboratory Demographics

CLIA Number: 39D2070805

Facility Name: LVPG FAM MED - NAZARETH

Facility Address:
863 NAZARETH PIKE
NAZARETH, PA
ZIP 18064
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Facility Phone Number: 484 373-3260

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1780011692

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	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
CertificateType	4
CertificateEffectiveDate	12/24/2023
CertificateExpirationDate	12/23/2025
FacilityType	Waiver

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