39D1047308 CLIA NUMBER - CONCENTRA - AIRPORT PHILADELPHIA AMERICAN CURRENT CARE, PA

Laboratory Demographics

CLIA Number: 39D1047308

Facility Name: CONCENTRA - AIRPORT PHILADELPHIA AMERICAN CURRENT CARE, PA

Facility Address:
7000 HOLSTEIN AVENUE
PHILADELPHIA, PA
ZIP 19153
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Facility Phone Number: 215 365-7510

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1306095484

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	39D1047308
LAB Type	Physician Office
Facility Name	CONCENTRA - AIRPORT PHILADELPHIA AMERICAN CURRENT CARE, PA
Street	7000 HOLSTEIN AVENUE
City	PHILADELPHIA
State	PA
ZIP	19153
Phone	215 365-7510
CertificateType	3
CertificateEffectiveDate	2/23/2023
CertificateExpirationDate	2/22/2025
FacilityType	PPMP

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