39D0943375 CLIA NUMBER - RENZI MEDICAL, PC

Laboratory Demographics

  • CLIA Code: 39D0943375
  • Facility Name: RENZI MEDICAL, PC
  • Facility Address: 1313-1315 WOLF STREET
    PHILADELPHIA, PA
    ZIP 19148
  • Facility Phone: 215 828-1884
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JOSEPH J. RENZI
  • NPI Number: 1710918149
  • Taxonomy: 207Q00000X - Family Medicine

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type Physician Office
Lab Director DR. JOSEPH J. RENZI

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