39D0672056 CLIA NUMBER - TRI COUNTY PEDIATRICS INC

Laboratory Demographics

  • CLIA Code: 39D0672056
  • Facility Name: TRI COUNTY PEDIATRICS INC
  • Facility Address: 1939 CHELTENHAM AVE
    ELKINS PARK, PA
    ZIP 19027
  • Facility Phone: 215 884-5715
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ALAN H. TANNENBAUM
  • NPI Number: 1235176397
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 39D0672056
LAB Type Physician Office
Facility Name TRI COUNTY PEDIATRICS INC
Street 1939 CHELTENHAM AVE
City ELKINS PARK
State PA
ZIP 19027
Phone 215 884-5715
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. ALAN H. TANNENBAUM

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