39D0991582 CLIA NUMBER - MONTGOMERY SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 39D0991582
  • Facility Name: MONTGOMERY SURGERY CENTER LLC
  • Facility Address: 1000 NORTH BROAD STREET SUITE 2
    LANSDALE, PA
    ZIP 19446
  • Facility Phone: 215 368-1646
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. THOMAS D. COATS
  • NPI Number: 1164419842
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D0991582
LAB Type Ambulatory Surgery Center
Facility Name MONTGOMERY SURGERY CENTER LLC
Street 1000 NORTH BROAD STREET SUITE 2
City LANSDALE
State PA
ZIP 19446
Phone 215 368-1646
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2025
Certificate Expiration Date 9/24/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. THOMAS D. COATS

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