39D0868635 CLIA NUMBER - SHRINERS HOSPITAL FOR CHILDREN PHILADELPHIA

Laboratory Demographics

  • CLIA Code: 39D0868635
  • Facility Name: SHRINERS HOSPITAL FOR CHILDREN PHILADELPHIA
  • Facility Address: 3551 N BROAD STREET
    PHILADELPHIA, PA
    ZIP 19140
  • Facility Phone: 215 430-4177
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. MILAN MONCILOVICH
  • NPI Number: 1659615706
  • Taxonomy: 207XP3100X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 39D0868635
LAB Type Hospital
Facility Name SHRINERS HOSPITAL FOR CHILDREN PHILADELPHIA
Street 3551 N BROAD STREET
City PHILADELPHIA
State PA
ZIP 19140
Phone 215 430-4177
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/19/2025
Certificate Expiration Date 3/18/2027
Facility Type Hospital
Lab Director DR. MILAN MONCILOVICH

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This page was last updated on: 6/4/2025