39D0204105 CLIA NUMBER - HATFIELD MEDICAL

Laboratory Demographics

  • CLIA Code: 39D0204105
  • Facility Name: HATFIELD MEDICAL
  • Facility Address: 103 SOUTH MAIN STREET
    HATFIELD, PA
    ZIP 19440
  • Facility Phone: 215 855-2954
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARC E. JAFFE
  • NPI Number: 1669551347
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0204105
LAB Type Physician Office
Facility Name HATFIELD MEDICAL
Street 103 SOUTH MAIN STREET
City HATFIELD
State PA
ZIP 19440
Phone 215 855-2954
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2025
Certificate Expiration Date 8/23/2027
Facility Type Physician Office
Lab Director DR. MARC E. JAFFE

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