39D0946003 CLIA NUMBER - DELAWARE VALLEY NEPHROLOGY

Laboratory Demographics

CLIA Number: 39D0946003

Facility Name: DELAWARE VALLEY NEPHROLOGY

Facility Address:
10 E MORELAND AVE SUITE 100
PHILADELPHIA, PA
ZIP 19118
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Facility Phone Number: 267 437-3163

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1417920026

Taxonomy: 207RN0300X - Internal Medicine
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

CLIA Record

Field Name	Field Value
CLIA Number	39D0946003
LAB Type	Physician Office
Facility Name	DELAWARE VALLEY NEPHROLOGY
Street	10 E MORELAND AVE SUITE 100
City	PHILADELPHIA
State	PA
ZIP	19118
Phone	267 437-3163
CertificateType	3
CertificateEffectiveDate	1/1/2023
CertificateExpirationDate	12/31/2024
FacilityType	PPMP

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