39D0952550 CLIA NUMBER - NEMOURS CHILDREN'S HEALTH, PHILADELPHIA

Laboratory Demographics

CLIA Number: 39D0952550

Facility Name: NEMOURS CHILDREN'S HEALTH, PHILADELPHIA

Facility Address:
833 CHESTNUT STREET, SUITE 300
PHILADELPHIA, PA
ZIP 19107
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Facility Phone Number: 215 861-8800

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1902959653

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 39D0952550
LAB Type Physician Office
Facility Name NEMOURS CHILDREN'S HEALTH, PHILADELPHIA
Street 833 CHESTNUT STREET, SUITE 300
City PHILADELPHIA
State PA
ZIP 19107
Phone 215 861-8800
CertificateType 4
CertificateEffectiveDate 8/24/2023
CertificateExpirationDate 8/23/2025
FacilityType Waiver

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