39D0196363 CLIA NUMBER - FEASTERVILLE FAMILY HEALTH CARE CENTER

Home > CLIA Lookup > 39D0196363

Laboratory Demographics

CLIA Number: 39D0196363

Facility Name: FEASTERVILLE FAMILY HEALTH CARE CENTER

Facility Address:
1665 BUSTLETON PIKE
FEASTERVILLE, PA
ZIP 19053
Get Directions

Facility Phone Number: 215 355-9770

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1821042912

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	39D0196363
LAB Type	Physician Office
Facility Name	FEASTERVILLE FAMILY HEALTH CARE CENTER
Street	1665 BUSTLETON PIKE
City	FEASTERVILLE
State	PA
ZIP	19053
Phone	215 355-9770
CertificateType	4
CertificateEffectiveDate	7/29/2023
CertificateExpirationDate	7/28/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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