39D0996319 CLIA NUMBER - ALL STAR PEDIATRICS

Laboratory Demographics

  • CLIA Code: 39D0996319
  • Facility Name: ALL STAR PEDIATRICS
  • Facility Address: 702 GORDON DRIVE
    EXTON, PA
    ZIP 19341
  • Facility Phone: 610 363-1330
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. AVANI S. MEHTA
  • NPI Number: 1033287552
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 39D0996319
LAB Type Physician Office
Facility Name ALL STAR PEDIATRICS
Street 702 GORDON DRIVE
City EXTON
State PA
ZIP 19341
Phone 610 363-1330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2024
Certificate Expiration Date 2/13/2026
Facility Type Physician Office
Lab Director DR. AVANI S. MEHTA

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