39D0199283 CLIA NUMBER - TEMPLE FACULTY PHYSICIANS- OBGYN

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Laboratory Demographics

CLIA Number: 39D0199283

Facility Name: TEMPLE FACULTY PHYSICIANS- OBGYN

Facility Address:
9331 OLD BUSTLETON SUITE 202 AND 203
PHILADELPHIA, PA
ZIP 19115
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Facility Phone Number: 215 602-8900

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1003967308

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	39D0199283
LAB Type	Physician Office
Facility Name	TEMPLE FACULTY PHYSICIANS- OBGYN
Street	9331 OLD BUSTLETON SUITE 202 AND 203
City	PHILADELPHIA
State	PA
ZIP	19115
Phone	215 602-8900
CertificateType	3
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024