39D2276023 CLIA NUMBER - LVPG OPHTHALMOLOGY - EMRICK BLVD

Laboratory Demographics

  • CLIA Code: 39D2276023
  • Facility Name: LVPG OPHTHALMOLOGY - EMRICK BLVD
  • Facility Address: 3100 EMRICK BOULEVARD
    BETHLEHEM, PA
    ZIP 18020
  • Facility Phone: 484 273-4390
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. AVANI SHAH
  • NPI Number: 1770772295
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 39D2276023
LAB Type Physician Office
Facility Name LVPG OPHTHALMOLOGY - EMRICK BLVD
Street 3100 EMRICK BOULEVARD
City BETHLEHEM
State PA
ZIP 18020
Phone 484 273-4390
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2025
Certificate Expiration Date 1/31/2027
Facility Type Physician Office
Lab Director DR. AVANI SHAH

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