39D0896639 CLIA NUMBER - DELAWARE VALLEY ID ASSOC PC

Laboratory Demographics

  • CLIA Code: 39D0896639
  • Facility Name: DELAWARE VALLEY ID ASSOC PC
  • Facility Address: 100 E LANCASTER AVE, STE 467
    WYNNEWOOD, PA
    ZIP 19096
  • Facility Phone: 610 896-0210
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BRETT C. GILBERT
  • NPI Number: 1871517540
  • Taxonomy: 207RI0200X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0896639
LAB Type Physician Office
Facility Name DELAWARE VALLEY ID ASSOC PC
Street 100 E LANCASTER AVE, STE 467
City WYNNEWOOD
State PA
ZIP 19096
Phone 610 896-0210
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2025
Certificate Expiration Date 1/16/2027
Facility Type Physician Office
Lab Director DR. BRETT C. GILBERT

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