39D0903471 CLIA NUMBER - CLINICAL LAB - CELLULAR THERAPY

Laboratory Demographics

  • CLIA Code: 39D0903471
  • Facility Name: CLINICAL LAB - CELLULAR THERAPY
  • Facility Address: 1100 WALNUT STREET MOB, SUITE 801
    PHILADELPHIA, PA
    ZIP 19107
  • Facility Phone: 215 955-9646
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. USAMA GERGIS
  • NPI Number: 1225576978
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D0903471
LAB Type Hospital
Facility Name CLINICAL LAB - CELLULAR THERAPY
Street 1100 WALNUT STREET MOB, SUITE 801
City PHILADELPHIA
State PA
ZIP 19107
Phone 215 955-9646
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 10/22/2023
Certificate Expiration Date 10/21/2025
Facility Type Hospital
Lab Director DR. USAMA GERGIS

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