39D0943375 CLIA NUMBER - RENZI MEDICAL, PC

Laboratory Demographics

CLIA Number: 39D0943375

Facility Name: RENZI MEDICAL, PC

Facility Address:
1313-1315 WOLF STREET
PHILADELPHIA, PA
ZIP 19148
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Facility Phone Number: 215 828-1884

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1710918149

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	39D0943375
LAB Type	Physician Office
Facility Name	RENZI MEDICAL, PC
Street	1313-1315 WOLF STREET
City	PHILADELPHIA
State	PA
ZIP	19148
Phone	215 828-1884
CertificateType	4
CertificateEffectiveDate	1/31/2024
CertificateExpirationDate	1/30/2026
FacilityType	Waiver

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