39D2293801 CLIA NUMBER - ST LUKE'S EMS PHYSICIAN RESPONSE REAM

Laboratory Demographics

  • CLIA Code: 39D2293801
  • Facility Name: ST LUKE'S EMS PHYSICIAN RESPONSE REAM
  • Facility Address: 744 OSTRUM ST
    BETHLEHEM, PA
    ZIP 18015
  • Facility Phone: 484 658-1690
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: BRYAN R. WILSON
  • NPI Number: 1235153776
  • Taxonomy: 207ZP0102X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 39D2293801
LAB Type Ambulance
Facility Name ST LUKE'S EMS PHYSICIAN RESPONSE REAM
Street 744 OSTRUM ST
City BETHLEHEM
State PA
ZIP 18015
Phone 484 658-1690
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Ambulance
Lab Director BRYAN R. WILSON

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