39D2271298 CLIA NUMBER - ST LUKE'S KUTZTOWN PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 39D2271298
  • Facility Name: ST LUKE'S KUTZTOWN PRIMARY CARE
  • Facility Address: 15065 KUTZTOWN RD, SUITE 400
    KUTZTOWN, PA
    ZIP 19530
  • Facility Phone: 484 658-2801
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DENNIS M. MCGORRY JR
  • NPI Number: 1740924794
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2271298
LAB Type Physician Office
Facility Name ST LUKE'S KUTZTOWN PRIMARY CARE
Street 15065 KUTZTOWN RD, SUITE 400
City KUTZTOWN
State PA
ZIP 19530
Phone 484 658-2801
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Physician Office
Lab Director DR. DENNIS M. MCGORRY JR

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