39D0936637 CLIA NUMBER - PENN CARE OB/GYN

Laboratory Demographics

CLIA Number: 39D0936637

Facility Name: PENN CARE OB/GYN

Facility Address:
800 WALNUT ST, #15 FLOOR
PHILADELPHIA, PA
ZIP 19107
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Facility Phone Number: (215) 454-3016

Facility Type: PHYSICIAN OFFICE

Certificate Type: Microscopy

NPI Number: 1942341185

Taxonomy: 332900000X - Non-Pharmacy Dispensing Site
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

CLIA Record

Field Name	Field Value
CLIA Number	39D0936637
LAB Type	PHYSICIAN OFFICE
Facility Name	PENN CARE OB/GYN
Street	800 WALNUT ST, #15 FLOOR
City	PHILADELPHIA
State	PA
ZIP	19107
Phone	(215) 454-3016

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