39D2210577 CLIA NUMBER - BRADFORD G YOUNG DMD PC

Laboratory Demographics

  • CLIA Code: 39D2210577
  • Facility Name: BRADFORD G YOUNG DMD PC
  • Facility Address: 1275 S CEDAR CREST BLVD
    ALLENTOWN, PA
    ZIP 18103
  • Facility Phone: 610 439-1363
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DR. BRADFORD G. YOUNG
  • NPI Number: 1578642807
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 39D2210577
LAB Type Practitioner Other
Facility Name BRADFORD G YOUNG DMD PC
Street 1275 S CEDAR CREST BLVD
City ALLENTOWN
State PA
ZIP 18103
Phone 610 439-1363
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2025
Certificate Expiration Date 1/21/2027
Facility Type Practitioner Other
Lab Director DR. BRADFORD G. YOUNG

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