39D0693054 CLIA NUMBER - TEMPLE FACULTY PHYSICIANS-OBGYN

Laboratory Demographics

CLIA Number: 39D0693054

Facility Name: TEMPLE FACULTY PHYSICIANS-OBGYN

Facility Address:
PHYSICIANS OFFICE BUILDING, SUITE 210 7500 CENTRAL AVENUE
PHILADELPHIA, PA
ZIP 19111
Get Directions

Facility Phone Number: 215 745-8989

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1073665600

Taxonomy: 2080N0001X - Pediatrics
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

CLIA Record

Field Name	Field Value
CLIA Number	39D0693054
LAB Type	Physician Office
Facility Name	TEMPLE FACULTY PHYSICIANS-OBGYN
Street	PHYSICIANS OFFICE BUILDING, SUITE 210 7500 CENTRAL AVENUE
City	PHILADELPHIA
State	PA
ZIP	19111
Phone	215 745-8989
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