39D0196841 CLIA NUMBER - JOEL S GOLDBERG DR

Laboratory Demographics

  • CLIA Code: 39D0196841
  • Facility Name: JOEL S GOLDBERG DR
  • Facility Address: 4015 CHICHESTER AVE
    BOOTHWYN, PA
    ZIP 19061
  • Facility Phone: 215 494-4422
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOEL S. GOLDBERG
  • NPI Number: 1699714402
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D0196841
LAB Type Physician Office
Facility Name JOEL S GOLDBERG DR
Street 4015 CHICHESTER AVE
City BOOTHWYN
State PA
ZIP 19061
Phone 215 494-4422
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director JOEL S. GOLDBERG

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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