39D2128756 CLIA NUMBER - LVPG EXPRESSCARE - PALMER TOWNSHIP

Laboratory Demographics

  • CLIA Code: 39D2128756
  • Facility Name: LVPG EXPRESSCARE - PALMER TOWNSHIP
  • Facility Address: 3701 CORRIERE RD, SUITE 14
    EASTON, PA
    ZIP 18045
  • Facility Phone: 484 591-7010
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RYAN T. SMITH
  • NPI Number: 1063950038
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2128756
LAB Type Physician Office
Facility Name LVPG EXPRESSCARE - PALMER TOWNSHIP
Street 3701 CORRIERE RD, SUITE 14
City EASTON
State PA
ZIP 18045
Phone 484 591-7010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Physician Office
Lab Director DR. RYAN T. SMITH

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