39D0670145 CLIA NUMBER - NEIL L ISDANER MD PC

Laboratory Demographics

  • CLIA Code: 39D0670145
  • Facility Name: NEIL L ISDANER MD PC
  • Facility Address: 10125 VERREE RD, STE #105
    PHILADELPHIA, PA
    ZIP 19116
  • Facility Phone: 215 745-7411
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NEIL L. ISDANER
  • NPI Number: 1093783409
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 39D0670145
LAB Type Physician Office
Facility Name NEIL L ISDANER MD PC
Street 10125 VERREE RD, STE #105
City PHILADELPHIA
State PA
ZIP 19116
Phone 215 745-7411
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 NEIL L. ISDANER

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