39D1041499 CLIA NUMBER - AMERICAN ACCESS CARE OF PHILADELPHIA

Laboratory Demographics

  • CLIA Code: 39D1041499
  • Facility Name: AMERICAN ACCESS CARE OF PHILADELPHIA
  • Facility Address: 2412-14 WEST PASSYUNK AVENUE
    PHILADELPHIA, PA
    ZIP 19145
  • Facility Phone: 215 462-2100
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. LOUIS DOMENICO JR
  • NPI Number: 1588639819
  • Taxonomy: 2085R0204X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 39D1041499
LAB Type Ambulatory Surgery Center
Facility Name AMERICAN ACCESS CARE OF PHILADELPHIA
Street 2412-14 WEST PASSYUNK AVENUE
City PHILADELPHIA
State PA
ZIP 19145
Phone 215 462-2100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2025
Certificate Expiration Date 6/17/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. LOUIS DOMENICO JR

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