39D2090694 CLIA NUMBER - FAVA & MARIA EYE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 39D2090694
  • Facility Name: FAVA & MARIA EYE ASSOCIATES
  • Facility Address: 875 NORMAN DRIVE
    LEBANON, PA
    ZIP 17042
  • Facility Phone: 717 272-2010
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARK C. MARIA MD
  • NPI Number: 1245291848
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 39D2090694
LAB Type Physician Office
Facility Name FAVA & MARIA EYE ASSOCIATES
Street 875 NORMAN DRIVE
City LEBANON
State PA
ZIP 17042
Phone 717 272-2010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2025
Certificate Expiration Date 1/28/2027
Facility Type Physician Office
Lab Director DR. MARK C. MARIA MD

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