39D0907139 CLIA NUMBER - SPECTRUM COMMUNITY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 39D0907139
  • Facility Name: SPECTRUM COMMUNITY HEALTH CENTER
  • Facility Address: 5201 HAVERFORD AVE
    PHILADELPHIA, PA
    ZIP 19139
  • Facility Phone: 215 471-2761
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: DR. JOANNE C. BRICE
  • NPI Number: 1881629012
  • Taxonomy: 261QF0400X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D0907139
LAB Type Federally Qualified Health Center
Facility Name SPECTRUM COMMUNITY HEALTH CENTER
Street 5201 HAVERFORD AVE
City PHILADELPHIA
State PA
ZIP 19139
Phone 215 471-2761
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 11/18/2024
Certificate Expiration Date 11/17/2026
Facility Type Federally Qualified Health Center
Lab Director DR. JOANNE C. BRICE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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