39D0893887 CLIA NUMBER - GENETIC DIAGNOSTIC LABORATORY

Laboratory Demographics

  • CLIA Code: 39D0893887
  • Facility Name: GENETIC DIAGNOSTIC LABORATORY
  • Facility Address: 560 CLINICAL RESEARCH BLDG, 415 CURIE BLVD
    PHILADELPHIA, PA
    ZIP 19104
  • Facility Phone: 215 573-9161
  • Facility Type: Other - GENETIC DIAGNOSTIC LAB
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. ARUPA GANGULY
  • NPI Number: 1831343383
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 39D0893887
LAB Type Other - GENETIC DIAGNOSTIC LAB
Facility Name GENETIC DIAGNOSTIC LABORATORY
Street 560 CLINICAL RESEARCH BLDG, 415 CURIE BLVD
City PHILADELPHIA
State PA
ZIP 19104
Phone 215 573-9161
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/14/2025
Certificate Expiration Date 2/13/2027
Facility Type Other - GENETIC DIAGNOSTIC LAB
Lab Director DR. ARUPA GANGULY

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This page was last updated on: 3/20/2025