39D0201888 CLIA NUMBER - NGOC AN PHAN MD PC

Laboratory Demographics

  • CLIA Code: 39D0201888
  • Facility Name: NGOC AN PHAN MD PC
  • Facility Address: 909 S 11TH
    PHILADELPHIA, PA
    ZIP 19147
  • Facility Phone: 215 923-6080
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NGOC AN PHAN MD
  • NPI Number: 1346246998
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0201888
LAB Type Physician Office
Facility Name NGOC AN PHAN MD PC
Street 909 S 11TH
City PHILADELPHIA
State PA
ZIP 19147
Phone 215 923-6080
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 NGOC AN PHAN MD

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