39D1011589 CLIA NUMBER - MANOS FAMILY PRACTICE

Laboratory Demographics

CLIA Code: 39D1011589
Facility Name: MANOS FAMILY PRACTICE
Facility Address: 915 OLD FERN HILL ROAD BLDG D SUITE 500
WEST CHESTER, PA
ZIP 19380
Facility Phone: 610 235-4100
Facility Type: Physician Office
Facility Type: Microscopy
Lab Director: A J. MANOS DO
NPI Number: 1801978010
Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name	Field Value
CLIA Number	39D1011589
LAB Type	Physician Office
Facility Name	MANOS FAMILY PRACTICE
Street	915 OLD FERN HILL ROAD BLDG D SUITE 500
City	WEST CHESTER
State	PA
ZIP	19380
Phone	610 235-4100
Certificate Type	Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description	This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date	4/15/2025
Certificate Expiration Date	4/14/2027
Facility Type	Physician Office
Lab Director	A J. MANOS DO

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