39D0201579 CLIA NUMBER - COVENANT HOUSE HLTH SVCS

Laboratory Demographics

  • CLIA Code: 39D0201579
  • Facility Name: COVENANT HOUSE HLTH SVCS
  • Facility Address: 251 E BRINGHURST STREET
    PHILADELPHIA, PA
    ZIP 19144
  • Facility Phone: 215 844-1020
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: DR. JUANITA S. BURTON
  • NPI Number: 1720361447
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D0201579
LAB Type Community Clinic
Facility Name COVENANT HOUSE HLTH SVCS
Street 251 E BRINGHURST STREET
City PHILADELPHIA
State PA
ZIP 19144
Phone 215 844-1020
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/14/2024
Certificate Expiration Date 4/13/2026
Facility Type Community Clinic
Lab Director DR. JUANITA S. BURTON

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