39D0702680 CLIA NUMBER - JEFFERSON HEALTH - ART MUSEUM

Laboratory Demographics

CLIA Number: 39D0702680

Facility Name: JEFFERSON HEALTH - ART MUSEUM

Facility Address:
2130 SPRING GARDEN STREET
PHILADELPHIA, PA
ZIP 19130
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Facility Phone Number: 215 988-9555

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1457862443

Taxonomy: 207RE0101X - Internal Medicine
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

CLIA Record

Field Name	Field Value
CLIA Number	39D0702680
LAB Type	Physician Office
Facility Name	JEFFERSON HEALTH - ART MUSEUM
Street	2130 SPRING GARDEN STREET
City	PHILADELPHIA
State	PA
ZIP	19130
Phone	215 988-9555
CertificateType	3
CertificateEffectiveDate	1/1/2024
CertificateExpirationDate	12/31/2025
FacilityType	PPMP

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