39D0953023 CLIA NUMBER - LEWIS FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 39D0953023
  • Facility Name: LEWIS FAMILY PRACTICE
  • Facility Address: 1088 W BALTIMORE PIKE SUITE 2206
    MEDIA, PA
    ZIP 19063
  • Facility Phone: 610 566-7601
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. WALT LEWIS
  • NPI Number: 1790795995
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0953023
LAB Type Physician Office
Facility Name LEWIS FAMILY PRACTICE
Street 1088 W BALTIMORE PIKE SUITE 2206
City MEDIA
State PA
ZIP 19063
Phone 610 566-7601
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2024
Certificate Expiration Date 10/22/2026
Facility Type Physician Office
Lab Director DR. WALT LEWIS

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