39D0935323 CLIA NUMBER - GRAND VIEW HEALTH PRIMARY CARE SOUDERTON

Laboratory Demographics

  • CLIA Code: 39D0935323
  • Facility Name: GRAND VIEW HEALTH PRIMARY CARE SOUDERTON
  • Facility Address: 3456 BETHLEHEM PIKE
    SOUDERTON, PA
    ZIP 18964
  • Facility Phone: 215 721-6500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER BUTLER MD
  • NPI Number: 1801840038
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0935323
LAB Type Physician Office
Facility Name GRAND VIEW HEALTH PRIMARY CARE SOUDERTON
Street 3456 BETHLEHEM PIKE
City SOUDERTON
State PA
ZIP 18964
Phone 215 721-6500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2023
Certificate Expiration Date 10/26/2025
Facility Type Physician Office
Lab Director JENNIFER BUTLER MD

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This page was last updated on: 6/4/2025