39D2128214 CLIA NUMBER - LVPG FAMILY MEDICINE - EASTON

Laboratory Demographics

CLIA Number: 39D2128214

Facility Name: LVPG FAMILY MEDICINE - EASTON

Facility Address:
2401 NORTHAMPTON ST SUITE 130
EASTON, PA
ZIP 18045
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Facility Phone Number: 484 591-7420

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1952849606

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	39D2128214
LAB Type	Physician Office
Facility Name	LVPG FAMILY MEDICINE - EASTON
Street	2401 NORTHAMPTON ST SUITE 130
City	EASTON
State	PA
ZIP	18045
Phone	484 591-7420
CertificateType	4
CertificateEffectiveDate	2/1/2023
CertificateExpirationDate	1/31/2025
FacilityType	Waiver

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