39D1066147 CLIA NUMBER - MLHC INTERNAL MEDICINE AT RIDDLE

Laboratory Demographics

  • CLIA Code: 39D1066147
  • Facility Name: MLHC INTERNAL MEDICINE AT RIDDLE
  • Facility Address: 1088 W BALTIMORE PIKE HC II SUITE 2208
    MEDIA, PA
    ZIP 19063
  • Facility Phone: 610 744-2980
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CHO CHO
  • NPI Number: 1780048579
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D1066147
LAB Type Physician Office
Facility Name MLHC INTERNAL MEDICINE AT RIDDLE
Street 1088 W BALTIMORE PIKE HC II SUITE 2208
City MEDIA
State PA
ZIP 19063
Phone 610 744-2980
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2025
Certificate Expiration Date 3/18/2027
Facility Type Physician Office
Lab Director DR. CHO CHO

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