39D0680396 CLIA NUMBER - JEFFERSON CTR FOR WOMENS MEDICAL SPEC

Laboratory Demographics

CLIA Number: 39D0680396

Facility Name: JEFFERSON CTR FOR WOMENS MEDICAL SPEC

Facility Address:
833 CHESTNUT STREET, MEZZANINE
PHILADELPHIA, PA
ZIP 19107
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Facility Phone Number: 215 955-5000

Facility Type: Other

Certificate Type: Microscopy

NPI Number: 1083039200

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 39D0680396
LAB Type Other
Facility Name JEFFERSON CTR FOR WOMENS MEDICAL SPEC
Street 833 CHESTNUT STREET, MEZZANINE
City PHILADELPHIA
State PA
ZIP 19107
Phone 215 955-5000
CertificateType 3
CertificateEffectiveDate 4/9/2023
CertificateExpirationDate 4/8/2025
FacilityType PPMP

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