39D0690128 CLIA NUMBER - PALISADES FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 39D0690128
  • Facility Name: PALISADES FAMILY PRACTICE
  • Facility Address: 8330 C EASTON ROAD
    OTTSVILLE, PA
    ZIP 18942
  • Facility Phone: (267) 424-8020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH G. ONEILL
  • NPI Number: 1699700260
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0690128
LAB Type Physician Office
Facility Name PALISADES FAMILY PRACTICE
Street 8330 C EASTON ROAD
City OTTSVILLE
State PA
ZIP 18942
Phone 2674248020
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 JOSEPH G. ONEILL

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This page was last updated on: 5/18/2026