39D2169427 CLIA NUMBER - ST LUKE'S FAMILY MEDICINE EASTON

Laboratory Demographics

  • CLIA Code: 39D2169427
  • Facility Name: ST LUKE'S FAMILY MEDICINE EASTON
  • Facility Address: 352 NORTHAMPTON STREET
    EASTON, PA
    ZIP 18042
  • Facility Phone: 484 822-4250
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ANDREW J. GOODBRED
  • NPI Number: 1013570613
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2169427
LAB Type Physician Office
Facility Name ST LUKE'S FAMILY MEDICINE EASTON
Street 352 NORTHAMPTON STREET
City EASTON
State PA
ZIP 18042
Phone 484 822-4250
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2025
Certificate Expiration Date 7/18/2027
Facility Type Physician Office
Lab Director DR. ANDREW J. GOODBRED

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