39D0961357 CLIA NUMBER - SPRING-FORD FAMILY PRACTICE

Laboratory Demographics

CLIA Number: 39D0961357

Facility Name: SPRING-FORD FAMILY PRACTICE

Facility Address:
307 SOUTH LEWIS ROAD
ROYERSFORD, PA
ZIP 19468
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Facility Phone Number: 610 792-0300

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1700083102

Taxonomy: 1223G0001X - Dentist
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

CLIA Record

Field Name	Field Value
CLIA Number	39D0961357
LAB Type	Physician Office
Facility Name	SPRING-FORD FAMILY PRACTICE
Street	307 SOUTH LEWIS ROAD
City	ROYERSFORD
State	PA
ZIP	19468
Phone	610 792-0300
CertificateType	3
CertificateEffectiveDate	6/4/2023
CertificateExpirationDate	6/3/2025
FacilityType	PPMP

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