39D1065307 CLIA NUMBER - PGC ENDOSCOPY CENTER FOR EXCELLENCE

Laboratory Demographics

  • CLIA Code: 39D1065307
  • Facility Name: PGC ENDOSCOPY CENTER FOR EXCELLENCE
  • Facility Address: 700 COTTMAN AVENUE
    PHILADELPHIA, PA
    ZIP 19111
  • Facility Phone: 215 742-9900
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. DANIEL J. SHER
  • NPI Number: 1972678449
  • Taxonomy: 261QE0800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D1065307
LAB Type Ambulatory Surgery Center
Facility Name PGC ENDOSCOPY CENTER FOR EXCELLENCE
Street 700 COTTMAN AVENUE
City PHILADELPHIA
State PA
ZIP 19111
Phone 215 742-9900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2025
Certificate Expiration Date 2/26/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. DANIEL J. SHER

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