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39D2101564 CLIA NUMBER - ST LUKES ALBRGHTSVLLE PRMARY CARE

Laboratory Demographics

CLIA Number: 39D2101564

Facility Name: ST LUKES ALBRGHTSVLLE PRMARY CARE

Facility Address:
2599 STATE ROUTE 903
ALBRIGHTSVILLE, PA
ZIP 18210
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Facility Phone Number: 570 645-1945

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1639554942

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 39D2101564
LAB Type Physician Office
Facility Name ST LUKES ALBRGHTSVLLE PRMARY CARE
Street 2599 STATE ROUTE 903
City ALBRIGHTSVILLE
State PA
ZIP 18210
Phone 570 645-1945
CertificateType 4
CertificateEffectiveDate 9/4/2023
CertificateExpirationDate 9/3/2025
FacilityType Waiver

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