39D1039693 CLIA NUMBER - TURKS HEAD SURGERY CENTER LLC

Laboratory Demographics

CLIA Number: 39D1039693

Facility Name: TURKS HEAD SURGERY CENTER LLC

Facility Address:
915 OLD FERN HILL ROAD BUILDING B SUITE 100
WEST CHESTER, PA
ZIP 19380
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Facility Phone Number: 484 723-0100

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1881687614

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	39D1039693
LAB Type	Physician Office
Facility Name	TURKS HEAD SURGERY CENTER LLC
Street	915 OLD FERN HILL ROAD BUILDING B SUITE 100
City	WEST CHESTER
State	PA
ZIP	19380
Phone	484 723-0100
CertificateType	4
CertificateEffectiveDate	4/20/2023
CertificateExpirationDate	4/19/2025
FacilityType	Waiver

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