39D0200394 CLIA NUMBER - LAWRENCE J KESSEL MD

Home > CLIA Lookup > 39D0200394

Laboratory Demographics

CLIA Number: 39D0200394

Facility Name: LAWRENCE J KESSEL MD

Facility Address:
8200 HENRY AVE G-1
PHILADELPHIA, PA
ZIP 19128
Get Directions

Facility Phone Number: 215 482-2366

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1871639013

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	39D0200394
LAB Type	Physician Office
Facility Name	LAWRENCE J KESSEL MD
Street	8200 HENRY AVE G-1
City	PHILADELPHIA
State	PA
ZIP	19128
Phone	215 482-2366
CertificateType	4
CertificateEffectiveDate	7/22/2023
CertificateExpirationDate	7/21/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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