39D0868635 CLIA NUMBER - SHRINERS HOSPITAL FOR CHILDREN PHILADELPHIA

Laboratory Demographics

CLIA Number: 39D0868635

Facility Name: SHRINERS HOSPITAL FOR CHILDREN PHILADELPHIA

Facility Address:
3551 N BROAD STREET
PHILADELPHIA, PA
ZIP 19140
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Facility Phone Number: 215 430-4177

Facility Type: Hospital

Certificate Type: Certificate of Compliance

NPI Number: 1659615706

Taxonomy: 207XP3100X - Orthopaedic Surgery
An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.

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
CertificateType	2
CertificateEffectiveDate	8/24/2022
CertificateExpirationDate	8/23/2024
FacilityType	Compliance

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