39D0951184 CLIA NUMBER - MONTGOMERY COUNTY MEDICAL ASSOC

Laboratory Demographics

CLIA Number: 39D0951184

Facility Name: MONTGOMERY COUNTY MEDICAL ASSOC

Facility Address:
1650 HUNTINGDON PIKE SUITE 156
MEADOWBROOK, PA
ZIP 19046
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Facility Phone Number: 215 947-7924

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1679668917

Taxonomy: 207KA0200X - Allergy & Immunology
A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee

CLIA Record

Field Name Field Value
CLIA Number 39D0951184
LAB Type Physician Office
Facility Name MONTGOMERY COUNTY MEDICAL ASSOC
Street 1650 HUNTINGDON PIKE SUITE 156
City MEADOWBROOK
State PA
ZIP 19046
Phone 215 947-7924
CertificateType 4
CertificateEffectiveDate 9/15/2022
CertificateExpirationDate 9/14/2024
FacilityType Waiver

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