39D1010992 CLIA NUMBER - VERREE PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 39D1010992
  • Facility Name: VERREE PEDIATRICS LLC
  • Facility Address: 10125 VERRE ROAD SUITE 303
    PHILADELPHIA, PA
    ZIP 19116
  • Facility Phone: 215 552-9060
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GALINA PRIVOROTSKY MD
  • NPI Number: 1467414102
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 39D1010992
LAB Type Physician Office
Facility Name VERREE PEDIATRICS LLC
Street 10125 VERRE ROAD SUITE 303
City PHILADELPHIA
State PA
ZIP 19116
Phone 215 552-9060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2025
Certificate Expiration Date 3/30/2027
Facility Type Physician Office
Lab Director GALINA PRIVOROTSKY MD

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This page was last updated on: 6/4/2025