39D0924146 CLIA NUMBER - GPHA CHINATOWN MEDICAL SERVICES

Laboratory Demographics

CLIA Number: 39D0924146

Facility Name: GPHA CHINATOWN MEDICAL SERVICES

Facility Address:
432 NORTH 6TH STREET
PHILADELPHIA, PA
ZIP 19123
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Facility Phone Number: 215 627-8000

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1689620171

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	39D0924146
LAB Type	Physician Office
Facility Name	GPHA CHINATOWN MEDICAL SERVICES
Street	432 NORTH 6TH STREET
City	PHILADELPHIA
State	PA
ZIP	19123
Phone	215 627-8000
CertificateType	3
CertificateEffectiveDate	6/14/2022
CertificateExpirationDate	6/13/2024
FacilityType	PPMP

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