39D0197293 CLIA NUMBER - MAIN LINE MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 39D0197293
  • Facility Name: MAIN LINE MEDICAL GROUP
  • Facility Address: 857 MONTGOMERY AVE
    NARBERTH, PA
    ZIP 19072
  • Facility Phone: 215 664-2951
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ROBERT WEISBERG
  • NPI Number: 1376911081
  • Taxonomy: 2084P0804X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 39D0197293
LAB Type Physician Office
Facility Name MAIN LINE MEDICAL GROUP
Street 857 MONTGOMERY AVE
City NARBERTH
State PA
ZIP 19072
Phone 215 664-2951
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 DR. ROBERT WEISBERG

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