39D0888804 CLIA NUMBER - JUNIATA FAMILY PRACTICE FHCS

Laboratory Demographics

CLIA Number: 39D0888804

Facility Name: JUNIATA FAMILY PRACTICE FHCS

Facility Address:
1139 EAST LUZERNE STREET
PHILADELPHIA, PA
ZIP 19124
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Facility Phone Number: 215 537-5094

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1508991589

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	39D0888804
LAB Type	Physician Office
Facility Name	JUNIATA FAMILY PRACTICE FHCS
Street	1139 EAST LUZERNE STREET
City	PHILADELPHIA
State	PA
ZIP	19124
Phone	215 537-5094
CertificateType	4
CertificateEffectiveDate	7/14/2022
CertificateExpirationDate	7/13/2024
FacilityType	Waiver

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