39D0202832 CLIA NUMBER - PEDIATRIC ASSOCIATES OF PAOLI

Laboratory Demographics

  • CLIA Code: 39D0202832
  • Facility Name: PEDIATRIC ASSOCIATES OF PAOLI
  • Facility Address: 11 INDUSTRIAL BLVD SUITE 201
    PAOLI, PA
    ZIP 19301
  • Facility Phone: 610 647-1484
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RAND KIENZLE
  • NPI Number: 1215132360
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 39D0202832
LAB Type Physician Office
Facility Name PEDIATRIC ASSOCIATES OF PAOLI
Street 11 INDUSTRIAL BLVD SUITE 201
City PAOLI
State PA
ZIP 19301
Phone 610 647-1484
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2025
Certificate Expiration Date 10/7/2027
Facility Type Physician Office
Lab Director DR. RAND KIENZLE

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