39D0706282 CLIA NUMBER - PHILADELPHIA HEALTH ASSOC PEDIATRICS

Laboratory Demographics

  • CLIA Code: 39D0706282
  • Facility Name: PHILADELPHIA HEALTH ASSOC PEDIATRICS
  • Facility Address: 25 BALA AVENUE - SUITE 102
    BALA CYNWYD, PA
    ZIP 19004
  • Facility Phone: 215 452-0304
  • Facility Type: Other
  • Facility Type: Microscopy
  • Lab Director: MIRIAM ANOLIK MD
  • NPI Number: 1386020204
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D0706282
LAB Type Other
Facility Name PHILADELPHIA HEALTH ASSOC PEDIATRICS
Street 25 BALA AVENUE - SUITE 102
City BALA CYNWYD
State PA
ZIP 19004
Phone 215 452-0304
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/1/2025
Certificate Expiration Date 1/31/2027
Facility Type Other
Lab Director MIRIAM ANOLIK MD

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This page was last updated on: 3/20/2025