39D2244163 CLIA NUMBER - ST LUKE'S SELLERSVILLE PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 39D2244163
  • Facility Name: ST LUKE'S SELLERSVILLE PRIMARY CARE
  • Facility Address: 711 LAWN AVE
    SELLERSVILLE, PA
    ZIP 18960
  • Facility Phone: 267 985-5160
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CYNTHIA D. MARTIN
  • NPI Number: 1235602459
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2244163
LAB Type Physician Office
Facility Name ST LUKE'S SELLERSVILLE PRIMARY CARE
Street 711 LAWN AVE
City SELLERSVILLE
State PA
ZIP 18960
Phone 267 985-5160
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2023
Certificate Expiration Date 11/29/2025
Facility Type Physician Office
Lab Director DR. CYNTHIA D. MARTIN

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