39D1008779 CLIA NUMBER - METHODIST DIV TJUH CLINICAL LAB

Laboratory Demographics

CLIA Number: 39D1008779

Facility Name: METHODIST DIV TJUH CLINICAL LAB

Facility Address:
2301 SOUTH BROAD STREET
PHILADELPHIA, PA
ZIP 19148
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Facility Phone Number: 215 952-9057

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1053355131

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	39D1008779
LAB Type	Hospital
Facility Name	METHODIST DIV TJUH CLINICAL LAB
Street	2301 SOUTH BROAD STREET
City	PHILADELPHIA
State	PA
ZIP	19148
Phone	215 952-9057
CertificateType	1
CertificateEffectiveDate	6/22/2022
CertificateExpirationDate	6/21/2024
FacilityType	Accreditation

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