39D0997153 CLIA NUMBER - TEMPLE PHYISICAN AT PALMER PARK

Laboratory Demographics

  • CLIA Code: 39D0997153
  • Facility Name: TEMPLE PHYISICAN AT PALMER PARK
  • Facility Address: 1741 FRANKFORD AVENUE SUITE 100
    PHILADELPHIA, PA
    ZIP 19125
  • Facility Phone: 215 425-2424
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KAILYN RIGBY
  • NPI Number: 1669524286
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0997153
LAB Type Physician Office
Facility Name TEMPLE PHYISICAN AT PALMER PARK
Street 1741 FRANKFORD AVENUE SUITE 100
City PHILADELPHIA
State PA
ZIP 19125
Phone 215 425-2424
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2024
Certificate Expiration Date 3/6/2026
Facility Type Physician Office
Lab Director DR. KAILYN RIGBY

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