39D0672007 CLIA NUMBER - E&M HEALTHCARE DBA CASTOR PEDIATRICS

Laboratory Demographics

  • CLIA Code: 39D0672007
  • Facility Name: E&M HEALTHCARE DBA CASTOR PEDIATRICS
  • Facility Address: 6608 CASTOR AVE
    PHILADELPHIA, PA
    ZIP 19149
  • Facility Phone: (215) 342-7710
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ELANA O. MCDONALD
  • NPI Number: 1437781853
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 39D0672007
LAB Type Physician Office
Facility Name E&M HEALTHCARE DBA CASTOR PEDIATRICS
Street 6608 CASTOR AVE
City PHILADELPHIA
State PA
ZIP 19149
Phone 2153427710
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. ELANA O. MCDONALD

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This page was last updated on: 6/29/2026