39D0199283 CLIA NUMBER - TEMPLE FACULTY PHYSICIANS- OBGYN

Laboratory Demographics

  • CLIA Code: 39D0199283
  • Facility Name: TEMPLE FACULTY PHYSICIANS- OBGYN
  • Facility Address: 9331 OLD BUSTLETON SUITE 202 AND 203
    PHILADELPHIA, PA
    ZIP 19115
  • Facility Phone: 215 602-8900
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DEBRA L. SOMERS
  • NPI Number: 1003967308
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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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
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 DEBRA L. SOMERS

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