39D1022806 CLIA NUMBER - MAX E MERCADO PRACTICE

Laboratory Demographics

  • CLIA Code: 39D1022806
  • Facility Name: MAX E MERCADO PRACTICE
  • Facility Address: JEANES PHYSICIANS OFFICE BUILDING 7500 CENTRAL AVENUE SUITE 203
    PHILADELPHIA, PA
    ZIP 19111
  • Facility Phone: (215) 289-4434
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAX E. MERCADO MD
  • NPI Number: 1336151182
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D1022806
LAB Type Physician Office
Facility Name MAX E MERCADO PRACTICE
Street JEANES PHYSICIANS OFFICE BUILDING 7500 CENTRAL AVENUE SUITE 203
City PHILADELPHIA
State PA
ZIP 19111
Phone 2152894434
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2026
Certificate Expiration Date 2/25/2028
Facility Type Physician Office
Lab Director MAX E. MERCADO MD

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This page was last updated on: 6/29/2026