39D0199347 CLIA NUMBER - FRANKFORD AVENUE FAMILY PRACTICE PC

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Laboratory Demographics

CLIA Number: 39D0199347

Facility Name: FRANKFORD AVENUE FAMILY PRACTICE PC

Facility Address:
8846 FRANKFORD AVENUE
PHILADELPHIA, PA
ZIP 19136
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Facility Phone Number: (215) 332-8221

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1124160775

Taxonomy: 332900000X - Non-Pharmacy Dispensing Site
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

CLIA Record

Field Name	Field Value
CLIA Number	39D0199347
LAB Type	PHYSICIAN OFFICE
Facility Name	FRANKFORD AVENUE FAMILY PRACTICE PC
Street	8846 FRANKFORD AVENUE
City	PHILADELPHIA
State	PA
ZIP	19136
Phone	(215) 332-8221

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This page was last updated on: 5/11/2023