39D0202793 CLIA NUMBER - ADVOCARE MAIN LINE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 39D0202793
  • Facility Name: ADVOCARE MAIN LINE PEDIATRICS
  • Facility Address: 100 DEERFIELD LANE, SUITE 110
    MALVERN, PA
    ZIP 19355
  • Facility Phone: 610 642-9200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BURTON H. LANGER
  • NPI Number: 1326050394
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 39D0202793
LAB Type Physician Office
Facility Name ADVOCARE MAIN LINE PEDIATRICS
Street 100 DEERFIELD LANE, SUITE 110
City MALVERN
State PA
ZIP 19355
Phone 610 642-9200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/31/2024
Certificate Expiration Date 12/30/2026
Facility Type Physician Office
Lab Director DR. BURTON H. LANGER

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