39D0203958 CLIA NUMBER - ADVOCARE BROOMALL PEDIATRICS KING OF PRUSSIA

Laboratory Demographics

  • CLIA Code: 39D0203958
  • Facility Name: ADVOCARE BROOMALL PEDIATRICS KING OF PRUSSIA
  • Facility Address: 860 FIRST AVE, STE 9A
    KING OF PRUSSIA, PA
    ZIP 19406
  • Facility Phone: (610) 265-9290
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MANYAN NG
  • NPI Number: 1093279739
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0203958
LAB Type Physician Office
Facility Name ADVOCARE BROOMALL PEDIATRICS KING OF PRUSSIA
Street 860 FIRST AVE, STE 9A
City KING OF PRUSSIA
State PA
ZIP 19406
Phone 6102659290
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DR. MANYAN NG

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This page was last updated on: 5/18/2026