39D0915500 CLIA NUMBER - FAMILY MEDICINE THMG MANAYUNK

Laboratory Demographics

CLIA Number: 39D0915500

Facility Name: FAMILY MEDICINE THMG MANAYUNK

Facility Address:
10 SHURS LANE SUITE 203
PHILADELPHIA, PA
ZIP 19127
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Facility Phone Number: 215 482-1234

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1841833548

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	39D0915500
LAB Type	Physician Office
Facility Name	FAMILY MEDICINE THMG MANAYUNK
Street	10 SHURS LANE SUITE 203
City	PHILADELPHIA
State	PA
ZIP	19127
Phone	215 482-1234
CertificateType	4
CertificateEffectiveDate	5/30/2022
CertificateExpirationDate	5/29/2024
FacilityType	Waiver

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