39D0196833 CLIA NUMBER - DANIEL A SMOLEN DO LAB

Laboratory Demographics

  • CLIA Code: 39D0196833
  • Facility Name: DANIEL A SMOLEN DO LAB
  • Facility Address: 1440 CONCHESTER HIGHWAY, STE #4
    GARNET VALLEY, PA
    ZIP 19060
  • Facility Phone: 610 358-3920
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DANIEL A. SMOLEN
  • NPI Number: 1306413083
  • Taxonomy: 225200000X - Physical Therapy Assistant

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CLIA Record

Field Name Field Value
CLIA Number 39D0196833
LAB Type Physician Office
Facility Name DANIEL A SMOLEN DO LAB
Street 1440 CONCHESTER HIGHWAY, STE #4
City GARNET VALLEY
State PA
ZIP 19060
Phone 610 358-3920
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2023
Certificate Expiration Date 11/21/2025
Facility Type Physician Office
Lab Director DR. DANIEL A. SMOLEN

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