39D0717505 CLIA NUMBER - COUNTY LINE MEDICAL ASSOC BRIAN RESNICK, DO

Laboratory Demographics

  • CLIA Code: 39D0717505
  • Facility Name: COUNTY LINE MEDICAL ASSOC BRIAN RESNICK, DO
  • Facility Address: 706 SOUTH COUNTY MAIN LINE ROAD
    TELFORD, PA
    ZIP 18969
  • Facility Phone: 215 723-7300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BRIAN RESNICK
  • NPI Number: 1508167271
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0717505
LAB Type Physician Office
Facility Name COUNTY LINE MEDICAL ASSOC BRIAN RESNICK, DO
Street 706 SOUTH COUNTY MAIN LINE ROAD
City TELFORD
State PA
ZIP 18969
Phone 215 723-7300
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 DR. BRIAN RESNICK

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