39D0940660 CLIA NUMBER - BMA CAMBRIA

Laboratory Demographics

CLIA Number: 39D0940660

Facility Name: BMA CAMBRIA

Facility Address:
2850 NORTH 21ST STREET
PHILADELPHIA, PA
ZIP 19132
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Facility Phone Number: 215 227-6883

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1477657245

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	39D0940660
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	BMA CAMBRIA
Street	2850 NORTH 21ST STREET
City	PHILADELPHIA
State	PA
ZIP	19132
Phone	215 227-6883
CertificateType	4
CertificateEffectiveDate	2/13/2024
CertificateExpirationDate	2/12/2026
FacilityType	Waiver

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