39D0726388 CLIA NUMBER - TEMPLE FACULTY PHYSICIANS- OBGYN

Laboratory Demographics

CLIA Number: 39D0726388

Facility Name: TEMPLE FACULTY PHYSICIANS- OBGYN

Facility Address:
3401 N BROAD ST, 7/8TH FLOOR, ZONE B
PHILADELPHIA, PA
ZIP 19140
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Facility Phone Number: 215 707-3008

Facility Type: Other

Certificate Type: Microscopy

NPI Number: 1194713073

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name Field Value
CLIA Number 39D0726388
LAB Type Other
Facility Name TEMPLE FACULTY PHYSICIANS- OBGYN
Street 3401 N BROAD ST, 7/8TH FLOOR, ZONE B
City PHILADELPHIA
State PA
ZIP 19140
Phone 215 707-3008
CertificateType 3
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType PPMP

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