39D0907720 CLIA NUMBER - WILLS SURGERY CENTER NE

Laboratory Demographics

CLIA Number: 39D0907720

Facility Name: WILLS SURGERY CENTER NE

Facility Address:
8400 ROOSEVELT BOULEVARD BLDG A
PHILADELPHIA, PA
ZIP 19152
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Facility Phone Number: (215) 332-7500

Facility Type: AMBULATORY SURGERY CENTER

Certificate Type: Waiver

NPI Number: 1629153770

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	39D0907720
LAB Type	AMBULATORY SURGERY CENTER
Facility Name	WILLS SURGERY CENTER NE
Street	8400 ROOSEVELT BOULEVARD BLDG A
City	PHILADELPHIA
State	PA
ZIP	19152
Phone	(215) 332-7500

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This page was last updated on: 5/11/2023