39D2175465 CLIA NUMBER - PEACE VALLEY RECOVERY, LLC

Laboratory Demographics

  • CLIA Code: 39D2175465
  • Facility Name: PEACE VALLEY RECOVERY, LLC
  • Facility Address: 5230 YORK ROAD
    DOYLESTOWN, PA
    ZIP 18902
  • Facility Phone: 215 780-1953
  • Facility Type: Other - POC UD TESTING
  • Facility Type: Waiver
  • Lab Director: DR. JUAN J. GAN
  • NPI Number: 1518517283
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2175465
LAB Type Other - POC UD TESTING
Facility Name PEACE VALLEY RECOVERY, LLC
Street 5230 YORK ROAD
City DOYLESTOWN
State PA
ZIP 18902
Phone 215 780-1953
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2023
Certificate Expiration Date 11/20/2025
Facility Type Other - POC UD TESTING
Lab Director DR. JUAN J. GAN

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