39D0973448 CLIA NUMBER - SUBURBAN MEDICAL GROUP, LLC

Laboratory Demographics

  • CLIA Code: 39D0973448
  • Facility Name: SUBURBAN MEDICAL GROUP, LLC
  • Facility Address: 2705 DEKALB PIKE, SUITE 202
    EAST NORRITON, PA
    ZIP 19401
  • Facility Phone: 610 275-7240
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JESSICA J. MAYER
  • NPI Number: 1710355029
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0973448
LAB Type Physician Office
Facility Name SUBURBAN MEDICAL GROUP, LLC
Street 2705 DEKALB PIKE, SUITE 202
City EAST NORRITON
State PA
ZIP 19401
Phone 610 275-7240
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2024
Certificate Expiration Date 5/4/2026
Facility Type Physician Office
Lab Director DR. JESSICA J. MAYER

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