39D1059431 CLIA NUMBER - SAYRE HEALTH CENTER

Laboratory Demographics

CLIA Number: 39D1059431

Facility Name: SAYRE HEALTH CENTER

Facility Address:
5800 WALNUT STREET REAR
PHILADELPHIA, PA
ZIP 19139
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Facility Phone Number: 215 474-4444

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1831209113

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	39D1059431
LAB Type	Federally Qualified Health Center
Facility Name	SAYRE HEALTH CENTER
Street	5800 WALNUT STREET REAR
City	PHILADELPHIA
State	PA
ZIP	19139
Phone	215 474-4444
CertificateType	3
CertificateEffectiveDate	9/29/2022
CertificateExpirationDate	9/28/2024
FacilityType	PPMP

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