39D0955440 CLIA NUMBER - PENN INTERNAL MEDICINE WYNDMOOR

Laboratory Demographics

  • CLIA Code: 39D0955440
  • Facility Name: PENN INTERNAL MEDICINE WYNDMOOR
  • Facility Address: 8200 FLOURTOWN AVE, SUITE 2
    WYNDMOOR, PA
    ZIP 19038
  • Facility Phone: 215 836-5100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CAROLYN B. O CONNOR
  • NPI Number: 1548406879
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 39D0955440
LAB Type Physician Office
Facility Name PENN INTERNAL MEDICINE WYNDMOOR
Street 8200 FLOURTOWN AVE, SUITE 2
City WYNDMOOR
State PA
ZIP 19038
Phone 215 836-5100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2024
Certificate Expiration Date 12/29/2026
Facility Type Physician Office
Lab Director DR. CAROLYN B. O CONNOR

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