39D0202019 CLIA NUMBER - JOSEPH BADOLATO DO LABORATORY

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Laboratory Demographics

CLIA Number: 39D0202019

Facility Name: JOSEPH BADOLATO DO LABORATORY

Facility Address:
1818 EAST PASSYUNK AVENUE
PHILADELPHIA, PA
ZIP 19148
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Facility Phone Number: 215 468-2553

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1235298662

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	39D0202019
LAB Type	Physician Office
Facility Name	JOSEPH BADOLATO DO LABORATORY
Street	1818 EAST PASSYUNK AVENUE
City	PHILADELPHIA
State	PA
ZIP	19148
Phone	215 468-2553
CertificateType	4
CertificateEffectiveDate	1/13/2023
CertificateExpirationDate	1/12/2025
FacilityType	Waiver

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