39D0989197 CLIA NUMBER - SUBURBAN RESEARCH ASSOCIATES

Laboratory Demographics

  • CLIA Code: 39D0989197
  • Facility Name: SUBURBAN RESEARCH ASSOCIATES
  • Facility Address: 107 CHESLEY DRIVE UNIT 4
    MEDIA, PA
    ZIP 19063
  • Facility Phone: 610 891-9024
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SHIVKUMAR HATTI
  • NPI Number: 1780640292
  • Taxonomy: 103T00000X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 39D0989197
LAB Type Physician Office
Facility Name SUBURBAN RESEARCH ASSOCIATES
Street 107 CHESLEY DRIVE UNIT 4
City MEDIA
State PA
ZIP 19063
Phone 610 891-9024
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2023
Certificate Expiration Date 7/18/2025
Facility Type Physician Office
Lab Director DR. SHIVKUMAR HATTI

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This page was last updated on: 6/4/2025