39D0204649 CLIA NUMBER - EAGLE FAMILY MEDICINE CENTER PC

Laboratory Demographics

  • CLIA Code: 39D0204649
  • Facility Name: EAGLE FAMILY MEDICINE CENTER PC
  • Facility Address: 134 POTTSTOWN PIKE
    CHESTER SPRINGS, PA
    ZIP 19425
  • Facility Phone: 610 458-8801
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DANIEL G. ORR
  • NPI Number: 1912353137
  • Taxonomy: 261QD0000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D0204649
LAB Type Physician Office
Facility Name EAGLE FAMILY MEDICINE CENTER PC
Street 134 POTTSTOWN PIKE
City CHESTER SPRINGS
State PA
ZIP 19425
Phone 610 458-8801
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/5/2024
Certificate Expiration Date 5/4/2026
Facility Type Physician Office
Lab Director DANIEL G. ORR

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