39D2091012 CLIA NUMBER - LVPG OCCUPATIONAL MEDICINE-PITTSTON

Laboratory Demographics

  • CLIA Code: 39D2091012
  • Facility Name: LVPG OCCUPATIONAL MEDICINE-PITTSTON
  • Facility Address: 1120 OAK STREET
    PITTSTON, PA
    ZIP 18640
  • Facility Phone: 570 417-3020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CHRISTOPHER A. SAMUJH
  • NPI Number: 1639821689
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2091012
LAB Type Physician Office
Facility Name LVPG OCCUPATIONAL MEDICINE-PITTSTON
Street 1120 OAK STREET
City PITTSTON
State PA
ZIP 18640
Phone 570 417-3020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2025
Certificate Expiration Date 2/3/2027
Facility Type Physician Office
Lab Director DR. CHRISTOPHER A. SAMUJH

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