39D0983670 CLIA NUMBER - PENN PRIMARY CARE COLLEGEVILLE

Laboratory Demographics

  • CLIA Code: 39D0983670
  • Facility Name: PENN PRIMARY CARE COLLEGEVILLE
  • Facility Address: 78 SECOND AVENUE
    COLLEGEVILLE, PA
    ZIP 19426
  • Facility Phone: 610 409-9999
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BURTON H. GINSBERG
  • NPI Number: 1871540906
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 39D0983670
LAB Type Physician Office
Facility Name PENN PRIMARY CARE COLLEGEVILLE
Street 78 SECOND AVENUE
City COLLEGEVILLE
State PA
ZIP 19426
Phone 610 409-9999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Physician Office
Lab Director DR. BURTON H. GINSBERG

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