39D0197963 CLIA NUMBER - MARC D COTLER MD LABORATORY

Laboratory Demographics

  • CLIA Code: 39D0197963
  • Facility Name: MARC D COTLER MD LABORATORY
  • Facility Address: 300 E LANCASTER AVENUE, SUITE 202
    WYNNEWOOD, PA
    ZIP 19096
  • Facility Phone: 610 642-3884
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. MARC COTLER
  • NPI Number: 1942305081
  • Taxonomy: 207KA0200X - Allergy & Immunology

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CLIA Record

Field Name Field Value
CLIA Number 39D0197963
LAB Type Physician Office
Facility Name MARC D COTLER MD LABORATORY
Street 300 E LANCASTER AVENUE, SUITE 202
City WYNNEWOOD
State PA
ZIP 19096
Phone 610 642-3884
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DR. MARC COTLER

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This page was last updated on: 6/4/2025