39D1030425 CLIA NUMBER - JOSEPH LABRICCIOSA DO PC

Laboratory Demographics

  • CLIA Code: 39D1030425
  • Facility Name: JOSEPH LABRICCIOSA DO PC
  • Facility Address: 1999 SPROUL ROAD SUITE 21
    BROOMALL, PA
    ZIP 19008
  • Facility Phone: (610) 353-5840
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH LABRICCIOSA DO
  • NPI Number: 1053315523
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D1030425
LAB Type Physician Office
Facility Name JOSEPH LABRICCIOSA DO PC
Street 1999 SPROUL ROAD SUITE 21
City BROOMALL
State PA
ZIP 19008
Phone 6103535840
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2024
Certificate Expiration Date 9/6/2026
Facility Type Physician Office
Lab Director JOSEPH LABRICCIOSA DO

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