39D2258790 CLIA NUMBER - REJUVENATIONS LV, LLC

Laboratory Demographics

  • CLIA Code: 39D2258790
  • Facility Name: REJUVENATIONS LV, LLC
  • Facility Address: 190 S GREENWOOD AVE UNIT 2
    EASTON, PA
    ZIP 18045
  • Facility Phone: 610 438-2578
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RICHARD J. SCHALLER JR
  • NPI Number: 1699420695
  • Taxonomy: 2083P0901X - Preventive Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2258790
LAB Type Physician Office
Facility Name REJUVENATIONS LV, LLC
Street 190 S GREENWOOD AVE UNIT 2
City EASTON
State PA
ZIP 18045
Phone 610 438-2578
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2024
Certificate Expiration Date 4/26/2026
Facility Type Physician Office
Lab Director DR. RICHARD J. SCHALLER JR

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