39D0888804 CLIA NUMBER - JUNIATA FAMILY PRACTICE FHCS

Laboratory Demographics

  • CLIA Code: 39D0888804
  • Facility Name: JUNIATA FAMILY PRACTICE FHCS
  • Facility Address: 1139 EAST LUZERNE STREET
    PHILADELPHIA, PA
    ZIP 19124
  • Facility Phone: 215 537-5094
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. AEKATA SHAH
  • NPI Number: 1508991589
  • Taxonomy: 207Q00000X - Family Medicine

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2024
Certificate Expiration Date 7/13/2026
Facility Type Physician Office
Lab Director DR. AEKATA SHAH

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This page was last updated on: 9/29/2025