39D0202826 CLIA NUMBER - MAIN LINE HOSPITALS LAB - PAOLI MAIN LINE HOSPITALS, INC

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Laboratory Demographics

CLIA Number: 39D0202826

Facility Name: MAIN LINE HOSPITALS LAB - PAOLI MAIN LINE HOSPITALS, INC

Facility Address:
255 WEST LANCASTER AVENUE
PAOLI, PA
ZIP 19301
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Facility Phone Number: 215 648-1518

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1780830620

Taxonomy: 207YS0123X - Otolaryngology
An otolaryngologist who specializes in facial plastic surgery.

CLIA Record

Field Name	Field Value
CLIA Number	39D0202826
LAB Type	Hospital
Facility Name	MAIN LINE HOSPITALS LAB - PAOLI MAIN LINE HOSPITALS, INC
Street	255 WEST LANCASTER AVENUE
City	PAOLI
State	PA
ZIP	19301
Phone	215 648-1518
CertificateType	1
CertificateEffectiveDate	2/9/2023
CertificateExpirationDate	2/8/2025
FacilityType	Accreditation

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