39D0678779 CLIA NUMBER - PENN NEPHROLOGY PENNSYLVANIA HOSPITAL

Laboratory Demographics

CLIA Number: 39D0678779

Facility Name: PENN NEPHROLOGY PENNSYLVANIA HOSPITAL

Facility Address:
700 SPRUCE ST SUITE 403
PHILADELPHIA, PA
ZIP 19106
Get Directions

Facility Phone Number: 215 829-8420

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1245220979

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name	Field Value
CLIA Number	39D0678779
LAB Type	Physician Office
Facility Name	PENN NEPHROLOGY PENNSYLVANIA HOSPITAL
Street	700 SPRUCE ST SUITE 403
City	PHILADELPHIA
State	PA
ZIP	19106
Phone	215 829-8420
CertificateType	3
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	PPMP

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