39D0939417 CLIA NUMBER - JOSEPH MANGEL DO PC LABORATORY

Laboratory Demographics

  • CLIA Code: 39D0939417
  • Facility Name: JOSEPH MANGEL DO PC LABORATORY
  • Facility Address: 201 MCKEAN STREET
    PHILADELPHIA, PA
    ZIP 19148
  • Facility Phone: 215 755-2500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH MANGEL DO
  • NPI Number: 1144261959
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0939417
LAB Type Physician Office
Facility Name JOSEPH MANGEL DO PC LABORATORY
Street 201 MCKEAN STREET
City PHILADELPHIA
State PA
ZIP 19148
Phone 215 755-2500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2024
Certificate Expiration Date 1/25/2026
Facility Type Physician Office
Lab Director JOSEPH MANGEL DO

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