39D1003007 CLIA NUMBER - GYNECOLOGY SPECIALISTS

Laboratory Demographics

CLIA Number: 39D1003007

Facility Name: GYNECOLOGY SPECIALISTS

Facility Address:
51 N 39TH STREET MOB 340
PHILADELPHIA, PA
ZIP 19104
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Facility Phone Number: 215 662-9775

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1366502445

Taxonomy: 207VX0000X - Obstetrics & Gynecology
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	39D1003007
LAB Type	Physician Office
Facility Name	GYNECOLOGY SPECIALISTS
Street	51 N 39TH STREET MOB 340
City	PHILADELPHIA
State	PA
ZIP	19104
Phone	215 662-9775
CertificateType	3
CertificateEffectiveDate	8/20/2022
CertificateExpirationDate	8/19/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024