39D2262437 CLIA NUMBER - LVPG ENDOCRINOLOGY-CARBON

Laboratory Demographics

CLIA Number: 39D2262437

Facility Name: LVPG ENDOCRINOLOGY-CARBON

Facility Address:
2226 BLAKESLEE BLVD DRIVE EAST SUITE 200
LEHIGHTON, PA
ZIP 18235
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Facility Phone Number: 610 402-6790

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1013081876

Taxonomy: 207RE0101X - Internal Medicine
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

CLIA Record

Field Name Field Value
CLIA Number 39D2262437
LAB Type Physician Office
Facility Name LVPG ENDOCRINOLOGY-CARBON
Street 2226 BLAKESLEE BLVD DRIVE EAST SUITE 200
City LEHIGHTON
State PA
ZIP 18235
Phone 610 402-6790
CertificateType 4
CertificateEffectiveDate 6/14/2022
CertificateExpirationDate 6/13/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024