39D2219496 CLIA NUMBER - ST LUKE'S DUBLIN INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 39D2219496
  • Facility Name: ST LUKE'S DUBLIN INTERNAL MEDICINE
  • Facility Address: 161 N MAIN ST, 7A
    DUBLIN, PA
    ZIP 18917
  • Facility Phone: 267 985-5090
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DONALD M. BRISLIN
  • NPI Number: 1780293241
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2219496
LAB Type Physician Office
Facility Name ST LUKE'S DUBLIN INTERNAL MEDICINE
Street 161 N MAIN ST, 7A
City DUBLIN
State PA
ZIP 18917
Phone 267 985-5090
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. DONALD M. BRISLIN

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