39D0977428 CLIA NUMBER - ADVOCARE ARDMORE CHESTNUT PEDS

Laboratory Demographics

  • CLIA Code: 39D0977428
  • Facility Name: ADVOCARE ARDMORE CHESTNUT PEDS
  • Facility Address: 100 CHURCH ROAD, SUITE 300
    ARDMORE, PA
    ZIP 19003
  • Facility Phone: 610 896-8582
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. FRANK H. KING
  • NPI Number: 1235206921
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 39D0977428
LAB Type Physician Office
Facility Name ADVOCARE ARDMORE CHESTNUT PEDS
Street 100 CHURCH ROAD, SUITE 300
City ARDMORE
State PA
ZIP 19003
Phone 610 896-8582
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2024
Certificate Expiration Date 8/26/2026
Facility Type Physician Office
Lab Director DR. FRANK H. KING

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