39D1057340 CLIA NUMBER - EUGENE ANDRUCZYK DO

Laboratory Demographics

  • CLIA Code: 39D1057340
  • Facility Name: EUGENE ANDRUCZYK DO
  • Facility Address: 9501 ROOSEVELT BLVD, SUITE 208
    PHILADELPHIA, PA
    ZIP 19114
  • Facility Phone: 215 469-1569
  • Facility Type: Other - CLINICAL RESEARCH SITE
  • Facility Type: Microscopy
  • Lab Director: DR. EUGENE ANDRUCZYK
  • NPI Number: 1780636498
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 39D1057340
LAB Type Other - CLINICAL RESEARCH SITE
Facility Name EUGENE ANDRUCZYK DO
Street 9501 ROOSEVELT BLVD, SUITE 208
City PHILADELPHIA
State PA
ZIP 19114
Phone 215 469-1569
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 3/3/2025
Certificate Expiration Date 3/2/2027
Facility Type Other - CLINICAL RESEARCH SITE
Lab Director DR. EUGENE ANDRUCZYK

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