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39D0200460 CLIA NUMBER - GENERAL PRACTICE ASSOCIATES

Laboratory Demographics

CLIA Number: 39D0200460

Facility Name: GENERAL PRACTICE ASSOCIATES

Facility Address:
7131 RIDGE AVE
PHILADELPHIA, PA
ZIP 19128
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Facility Phone Number: 215 483-2113

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1841249349

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 39D0200460
LAB Type Physician Office
Facility Name GENERAL PRACTICE ASSOCIATES
Street 7131 RIDGE AVE
City PHILADELPHIA
State PA
ZIP 19128
Phone 215 483-2113
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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