39D2120690 CLIA NUMBER - AESTHETIC SURGERY ASSOCIATES

Laboratory Demographics

  • CLIA Code: 39D2120690
  • Facility Name: AESTHETIC SURGERY ASSOCIATES
  • Facility Address: 250 CETRONIA RD, SUITE 302
    ALLENTOWN, PA
    ZIP 18104
  • Facility Phone: 610 437-2378
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. MARIE S. WAGENER
  • NPI Number: 1306866611
  • Taxonomy: 2086S0122X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 39D2120690
LAB Type Physician Office
Facility Name AESTHETIC SURGERY ASSOCIATES
Street 250 CETRONIA RD, SUITE 302
City ALLENTOWN
State PA
ZIP 18104
Phone 610 437-2378
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/21/2024
Certificate Expiration Date 10/20/2026
Facility Type Physician Office
Lab Director DR. MARIE S. WAGENER

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