39D0705879 CLIA NUMBER - BROOKSIDE FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 39D0705879
  • Facility Name: BROOKSIDE FAMILY PRACTICE
  • Facility Address: 1555 MEDICAL DRIVE
    POTTSTOWN, PA
    ZIP 19464
  • Facility Phone: 610 326-7820
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HERMINE STEIN DO
  • NPI Number: 1033234133
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D0705879
LAB Type Physician Office
Facility Name BROOKSIDE FAMILY PRACTICE
Street 1555 MEDICAL DRIVE
City POTTSTOWN
State PA
ZIP 19464
Phone 610 326-7820
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2025
Certificate Expiration Date 10/11/2027
Facility Type Physician Office
Lab Director HERMINE STEIN DO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025