39D2076837 CLIA NUMBER - LVPG FAMILY MED - BATH

Laboratory Demographics

  • CLIA Code: 39D2076837
  • Facility Name: LVPG FAMILY MED - BATH
  • Facility Address: 6649 CHRISPHALT DR, SUITE 103
    BATH, PA
    ZIP 18014
  • Facility Phone: 484 287-1111
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KATE H. AGRESTI
  • NPI Number: 1720403207
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2076837
LAB Type Physician Office
Facility Name LVPG FAMILY MED - BATH
Street 6649 CHRISPHALT DR, SUITE 103
City BATH
State PA
ZIP 18014
Phone 484 287-1111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2024
Certificate Expiration Date 4/27/2026
Facility Type Physician Office
Lab Director DR. KATE H. AGRESTI

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This page was last updated on: 3/20/2025