39D2071696 CLIA NUMBER - LVPG EXPRESSCARE - BANGOR

Laboratory Demographics

  • CLIA Code: 39D2071696
  • Facility Name: LVPG EXPRESSCARE - BANGOR
  • Facility Address: 1337 BLUE VALLEY DRIVE SUITE 8
    PEN ARGYL, PA
    ZIP 18072
  • Facility Phone: 610 654-1200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. PHILIP J. CINELLI
  • NPI Number: 1942630827
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2071696
LAB Type Physician Office
Facility Name LVPG EXPRESSCARE - BANGOR
Street 1337 BLUE VALLEY DRIVE SUITE 8
City PEN ARGYL
State PA
ZIP 18072
Phone 610 654-1200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2024
Certificate Expiration Date 1/16/2026
Facility Type Physician Office
Lab Director DR. PHILIP J. CINELLI

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