39D0890666 CLIA NUMBER - MEADOWBROOK PEDIATRICS

Laboratory Demographics

  • CLIA Code: 39D0890666
  • Facility Name: MEADOWBROOK PEDIATRICS
  • Facility Address: 1650 HUNTINGDON PIKE SUITE 320
    MEADOWBROOK, PA
    ZIP 19046
  • Facility Phone: (215) 947-1447
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. THERESA C. BECKER
  • NPI Number: 1922052067
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 39D0890666
LAB Type Physician Office
Facility Name MEADOWBROOK PEDIATRICS
Street 1650 HUNTINGDON PIKE SUITE 320
City MEADOWBROOK
State PA
ZIP 19046
Phone 2159471447
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2024
Certificate Expiration Date 9/5/2026
Facility Type Physician Office
Lab Director DR. THERESA C. BECKER

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This page was last updated on: 5/18/2026