39D0968015 CLIA NUMBER - EXETER PEDIATRICS INTEGRATED MEDICAL GROUP PC

Laboratory Demographics

  • CLIA Code: 39D0968015
  • Facility Name: EXETER PEDIATRICS INTEGRATED MEDICAL GROUP PC
  • Facility Address: 6 HEARTHSTONE COURT, SUITE 201
    READING, PA
    ZIP 19606
  • Facility Phone: 610 779-9550
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. GUSTAW WOCH MD
  • NPI Number: 1639244155
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 39D0968015
LAB Type Physician Office
Facility Name EXETER PEDIATRICS INTEGRATED MEDICAL GROUP PC
Street 6 HEARTHSTONE COURT, SUITE 201
City READING
State PA
ZIP 19606
Phone 610 779-9550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/2/2024
Certificate Expiration Date 1/1/2026
Facility Type Physician Office
Lab Director DR. GUSTAW WOCH MD

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