39D0672568 CLIA NUMBER - FAMILY PRACTICE OF WILLOW GROVE

Laboratory Demographics

CLIA Number: 39D0672568

Facility Name: FAMILY PRACTICE OF WILLOW GROVE

Facility Address:
1235 OLD YORK ROAD, SUITE 210
ABINGTON, PA
ZIP 19001
Get Directions

Facility Phone Number: 215 659-3220

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1154376739

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	39D0672568
LAB Type	Physician Office
Facility Name	FAMILY PRACTICE OF WILLOW GROVE
Street	1235 OLD YORK ROAD, SUITE 210
City	ABINGTON
State	PA
ZIP	19001
Phone	215 659-3220
CertificateType	4
CertificateEffectiveDate	6/19/2022
CertificateExpirationDate	6/18/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024