39D0203313 CLIA NUMBER - INGLESIDE MEDICAL ASSOCS

Laboratory Demographics

  • CLIA Code: 39D0203313
  • Facility Name: INGLESIDE MEDICAL ASSOCS
  • Facility Address: 200 MUNICIPAL DRIVE
    THORNDALE, PA
    ZIP 19372
  • Facility Phone: 610 383-6300
  • Facility Type: Practitioner Other
  • Facility Type: Accreditation
  • Lab Director: WILLIAM BROWN
  • NPI Number: 1295790137
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0203313
LAB Type Practitioner Other
Facility Name INGLESIDE MEDICAL ASSOCS
Street 200 MUNICIPAL DRIVE
City THORNDALE
State PA
ZIP 19372
Phone 610 383-6300
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Practitioner Other
Lab Director WILLIAM BROWN

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