39D1038595 CLIA NUMBER - CHESPENN HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 39D1038595
  • Facility Name: CHESPENN HEALTH SERVICES
  • Facility Address: 5 SOUTH STATE ROAD
    UPPER DARBY, PA
    ZIP 19082
  • Facility Phone: 610 352-6585
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. LETITIA OKICKI MD
  • NPI Number: 1225272263
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D1038595
LAB Type Physician Office
Facility Name CHESPENN HEALTH SERVICES
Street 5 SOUTH STATE ROAD
City UPPER DARBY
State PA
ZIP 19082
Phone 610 352-6585
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 3/23/2025
Certificate Expiration Date 3/22/2027
Facility Type Physician Office
Lab Director DR. LETITIA OKICKI MD

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