39D0939225 CLIA NUMBER - BROAD AXE FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 39D0939225
  • Facility Name: BROAD AXE FAMILY MEDICINE
  • Facility Address: 721 SKIPPACK PIKE SUITE 3
    BLUE BELL, PA
    ZIP 19422
  • Facility Phone: 215 793-0600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. HEIDI J. YUTZLER-OVERTON
  • NPI Number: 1972983609
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 39D0939225
LAB Type Physician Office
Facility Name BROAD AXE FAMILY MEDICINE
Street 721 SKIPPACK PIKE SUITE 3
City BLUE BELL
State PA
ZIP 19422
Phone 215 793-0600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2024
Certificate Expiration Date 1/21/2026
Facility Type Physician Office
Lab Director DR. HEIDI J. YUTZLER-OVERTON

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This page was last updated on: 9/29/2025