39D0203503 CLIA NUMBER - ADVOCARE BROOMALL PEDIATRICS ASSOCIATES

Laboratory Demographics

  • CLIA Code: 39D0203503
  • Facility Name: ADVOCARE BROOMALL PEDIATRICS ASSOCIATES
  • Facility Address: 1246 WEST CHESTER PIKE PHOENIX BUILDING, SUITE 303
    WEST CHESTER, PA
    ZIP 19382
  • Facility Phone: 610 692-2605
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MAYAN NG
  • NPI Number: 1770594053
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 39D0203503
LAB Type Physician Office
Facility Name ADVOCARE BROOMALL PEDIATRICS ASSOCIATES
Street 1246 WEST CHESTER PIKE PHOENIX BUILDING, SUITE 303
City WEST CHESTER
State PA
ZIP 19382
Phone 610 692-2605
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2024
Certificate Expiration Date 3/8/2026
Facility Type Physician Office
Lab Director DR. MAYAN NG

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