39D0201579 CLIA NUMBER - COVENANT HOUSE HLTH SVCS

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Laboratory Demographics

CLIA Number: 39D0201579

Facility Name: COVENANT HOUSE HLTH SVCS

Facility Address:
251 E BRINGHURST STREET
PHILADELPHIA, PA
ZIP 19144
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Facility Phone Number: 215 844-1020

Facility Type: Community Clinic

Certificate Type: Microscopy

NPI Number: 1720361447

Taxonomy: 261QF0400X - Clinic/Center

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
CertificateType	3
CertificateEffectiveDate	4/14/2024
CertificateExpirationDate	4/13/2026
FacilityType	PPMP

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