39D0195442 CLIA NUMBER - BROOKSIDE CLINICAL LAB INC

Laboratory Demographics

  • CLIA Code: 39D0195442
  • Facility Name: BROOKSIDE CLINICAL LAB INC
  • Facility Address: 2901 W DUTTONS MILL ROAD, SUITE 100
    ASTON, PA
    ZIP 19014
  • Facility Phone: 610 872-6466
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. JOSEPH D. MUSTO
  • NPI Number: 1629047436
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 39D0195442
LAB Type Independent
Facility Name BROOKSIDE CLINICAL LAB INC
Street 2901 W DUTTONS MILL ROAD, SUITE 100
City ASTON
State PA
ZIP 19014
Phone 610 872-6466
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 6/23/2024
Certificate Expiration Date 6/22/2026
Facility Type Independent
Lab Director DR. JOSEPH D. MUSTO

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