39D0200054 CLIA NUMBER - KENSINGTON HOSPITAL LABORATORY

Laboratory Demographics

CLIA Number: 39D0200054

Facility Name: KENSINGTON HOSPITAL LABORATORY

Facility Address:
136 W DIAMOND ST
PHILADELPHIA, PA
ZIP 19122
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Facility Phone Number: 215 426-8100

Facility Type: Hospital

Certificate Type: Waiver

NPI Number: 1962543843

Taxonomy: 261QA0005X - Clinic/Center
An abortion/family planning facility where services are provided at a fixed specific location. An Ambulatory Family Planning Facility does not provide overnight accommodations. The following procedures may be performed at an Ambulatory Family Planning Facility: abortions, laproscopy, hysterectomies, tubule ligation and other related procedures. Abortion is considered voluntary termination of pregnancy.

CLIA Record

Field Name Field Value
CLIA Number 39D0200054
LAB Type Hospital
Facility Name KENSINGTON HOSPITAL LABORATORY
Street 136 W DIAMOND ST
City PHILADELPHIA
State PA
ZIP 19122
Phone 215 426-8100
CertificateType 4
CertificateEffectiveDate 6/28/2022
CertificateExpirationDate 6/27/2024
FacilityType Waiver

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