39D0868549 CLIA NUMBER - HARRIS GRATZ DO

Laboratory Demographics

CLIA Number: 39D0868549

Facility Name: HARRIS GRATZ DO

Facility Address:
807 S 3RD STREET
PHILADELPHIA, PA
ZIP 19147
Get Directions

Facility Phone Number: 215 467-9496

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1649411794

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	39D0868549
LAB Type	Physician Office
Facility Name	HARRIS GRATZ DO
Street	807 S 3RD STREET
City	PHILADELPHIA
State	PA
ZIP	19147
Phone	215 467-9496
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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