39D0197428 CLIA NUMBER - INTERNISTS ASSOCIATES

Laboratory Demographics

  • CLIA Code: 39D0197428
  • Facility Name: INTERNISTS ASSOCIATES
  • Facility Address: 100 EAST CHESTER PIKE
    RIDLEY PARK, PA
    ZIP 19078
  • Facility Phone: 610 521-3333
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DR. RICHARD R. RATNER
  • NPI Number: 1902825011
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0197428
LAB Type Practitioner Other
Facility Name INTERNISTS ASSOCIATES
Street 100 EAST CHESTER PIKE
City RIDLEY PARK
State PA
ZIP 19078
Phone 610 521-3333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2023
Certificate Expiration Date 12/27/2025
Facility Type Practitioner Other
Lab Director DR. RICHARD R. RATNER

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