39D0996934 CLIA NUMBER - PHOENIXVILLE MEDICINE AT LIMERICK LABORATORY

Laboratory Demographics

  • CLIA Code: 39D0996934
  • Facility Name: PHOENIXVILLE MEDICINE AT LIMERICK LABORATORY
  • Facility Address: 420 WEST LINFIELD TRAPPE ROAD BUILDING B 2ND FL, SUITE 200
    LIMERICK, PA
    ZIP 19468
  • Facility Phone: 610 983-1167
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MALLIKA M. BHANDARY
  • NPI Number: 1275840274
  • Taxonomy: 2086S0129X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 39D0996934
LAB Type Physician Office
Facility Name PHOENIXVILLE MEDICINE AT LIMERICK LABORATORY
Street 420 WEST LINFIELD TRAPPE ROAD BUILDING B 2ND FL, SUITE 200
City LIMERICK
State PA
ZIP 19468
Phone 610 983-1167
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2024
Certificate Expiration Date 2/9/2026
Facility Type Physician Office
Lab Director DR. MALLIKA M. BHANDARY

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