39D1016063 CLIA NUMBER - TEMPLE INTERNAL MEDICINE ASSOCIATES

Laboratory Demographics

CLIA Number: 39D1016063

Facility Name: TEMPLE INTERNAL MEDICINE ASSOCIATES

Facility Address:
3322 N BROAD STREET, 1ST FLOOR
PHILADELPHIA, PA
ZIP 19140
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Facility Phone Number: 215 707-1800

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1891059226

Taxonomy: 282N00000X - General Acute Care Hospital
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

CLIA Record

Field Name Field Value
CLIA Number 39D1016063
LAB Type Physician Office
Facility Name TEMPLE INTERNAL MEDICINE ASSOCIATES
Street 3322 N BROAD STREET, 1ST FLOOR
City PHILADELPHIA
State PA
ZIP 19140
Phone 215 707-1800
CertificateType 4
CertificateEffectiveDate 7/31/2022
CertificateExpirationDate 7/30/2024
FacilityType Waiver

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