39D0901279 CLIA NUMBER - ST MARY FAMILY MEDICINE BENSALEM

Laboratory Demographics

  • CLIA Code: 39D0901279
  • Facility Name: ST MARY FAMILY MEDICINE BENSALEM
  • Facility Address: 3331 STREET ROAD 2 GREENWOOD SQUARE, SUITE 140
    BENSALEM, PA
    ZIP 19020
  • Facility Phone: 215 245-4334
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. DAVID BERDY
  • NPI Number: 1588118236
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0901279
LAB Type Physician Office
Facility Name ST MARY FAMILY MEDICINE BENSALEM
Street 3331 STREET ROAD 2 GREENWOOD SQUARE, SUITE 140
City BENSALEM
State PA
ZIP 19020
Phone 215 245-4334
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/1/2024
Certificate Expiration Date 11/30/2026
Facility Type Physician Office
Lab Director DR. DAVID BERDY

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