39D1001662 CLIA NUMBER - TRUE NORTH SUNSHINE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 39D1001662
  • Facility Name: TRUE NORTH SUNSHINE PEDIATRICS
  • Facility Address: 625 W RIDGE PIKE BUILDING A, SUITE 300
    CONSHOHOCKEN, PA
    ZIP 19428
  • Facility Phone: 215 672-8015
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. NICHOLAS A. HOWARD
  • NPI Number: 1417991704
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 39D1001662
LAB Type Physician Office
Facility Name TRUE NORTH SUNSHINE PEDIATRICS
Street 625 W RIDGE PIKE BUILDING A, SUITE 300
City CONSHOHOCKEN
State PA
ZIP 19428
Phone 215 672-8015
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2024
Certificate Expiration Date 7/16/2026
Facility Type Physician Office
Lab Director DR. NICHOLAS A. HOWARD

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