39D2173475 CLIA NUMBER - LEHIGH VALLEY HLTH NTWK CANCER CTR - HAZLETON

Laboratory Demographics

  • CLIA Code: 39D2173475
  • Facility Name: LEHIGH VALLEY HLTH NTWK CANCER CTR - HAZLETON
  • Facility Address: 772 E BROAD STREET
    HAZLETON, PA
    ZIP 18201
  • Facility Phone: 484 425-8006
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL W. EVANS
  • NPI Number: 1942609599
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 39D2173475
LAB Type Hospital
Facility Name LEHIGH VALLEY HLTH NTWK CANCER CTR - HAZLETON
Street 772 E BROAD STREET
City HAZLETON
State PA
ZIP 18201
Phone 484 425-8006
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2025
Certificate Expiration Date 10/14/2027
Facility Type Hospital
Lab Director DR. MICHAEL W. EVANS

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