39D0670184 CLIA NUMBER - MERCY PEDIATRIC ASSOCIATES

Laboratory Demographics

  • CLIA Code: 39D0670184
  • Facility Name: MERCY PEDIATRIC ASSOCIATES
  • Facility Address: 1503 LANSDOWNE AVENUE SUITE 3002
    DARBY, PA
    ZIP 19023
  • Facility Phone: 610 237-4995
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JACQUELINE K. GENOVA
  • NPI Number: 1417922782
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 39D0670184
LAB Type Physician Office
Facility Name MERCY PEDIATRIC ASSOCIATES
Street 1503 LANSDOWNE AVENUE SUITE 3002
City DARBY
State PA
ZIP 19023
Phone 610 237-4995
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2024
Certificate Expiration Date 10/16/2026
Facility Type Physician Office
Lab Director DR. JACQUELINE K. GENOVA

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