39D0907139 CLIA NUMBER - SPECTRUM COMMUNITY HEALTH CENTER

Laboratory Demographics

CLIA Number: 39D0907139

Facility Name: SPECTRUM COMMUNITY HEALTH CENTER

Facility Address:
5201 HAVERFORD AVE
PHILADELPHIA, PA
ZIP 19139
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Facility Phone Number: 215 471-2761

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1881629012

Taxonomy: 261QF0400X - Clinic/Center

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
CertificateType	3
CertificateEffectiveDate	11/18/2022
CertificateExpirationDate	11/17/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024