39D1018739 CLIA NUMBER - PREVENTION POINT PHILADELPHIA

Laboratory Demographics

  • CLIA Code: 39D1018739
  • Facility Name: PREVENTION POINT PHILADELPHIA
  • Facility Address: 2913-15 KENSINGTON AVENUE
    PHILADELPHIA, PA
    ZIP 19134
  • Facility Phone: 215 634-5272
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. SERGE EMILE SIMPSON
  • NPI Number: 1679043152
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D1018739
LAB Type Community Clinic
Facility Name PREVENTION POINT PHILADELPHIA
Street 2913-15 KENSINGTON AVENUE
City PHILADELPHIA
State PA
ZIP 19134
Phone 215 634-5272
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2024
Certificate Expiration Date 4/30/2026
Facility Type Community Clinic
Lab Director DR. SERGE EMILE SIMPSON

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