39D2108859 CLIA NUMBER - ST LUKE'S PRIMARY CARE EASTON

Laboratory Demographics

  • CLIA Code: 39D2108859
  • Facility Name: ST LUKE'S PRIMARY CARE EASTON
  • Facility Address: 3101 EMRICK BLVD, SUITE 112
    BETHLEHEM, PA
    ZIP 18020
  • Facility Phone: 484 822-5570
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. G BRUCE MILES
  • NPI Number: 1386294924
  • Taxonomy: 2080P0214X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D2108859
LAB Type Physician Office
Facility Name ST LUKE'S PRIMARY CARE EASTON
Street 3101 EMRICK BLVD, SUITE 112
City BETHLEHEM
State PA
ZIP 18020
Phone 484 822-5570
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2024
Certificate Expiration Date 2/12/2026
Facility Type Physician Office
Lab Director DR. G BRUCE MILES

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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