39D0200460 CLIA NUMBER - GENERAL PRACTICE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 39D0200460
  • Facility Name: GENERAL PRACTICE ASSOCIATES
  • Facility Address: 7131 RIDGE AVE
    PHILADELPHIA, PA
    ZIP 19128
  • Facility Phone: 215 483-2113
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LARRY DOROSHOW DO
  • NPI Number: 1841249349
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0200460
LAB Type Physician Office
Facility Name GENERAL PRACTICE ASSOCIATES
Street 7131 RIDGE AVE
City PHILADELPHIA
State PA
ZIP 19128
Phone 215 483-2113
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director LARRY DOROSHOW DO

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