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39D1069657 CLIA NUMBER - DEBRADY MEDICAL ASSOCIATES

Laboratory Demographics

CLIA Number: 39D1069657

Facility Name: DEBRADY MEDICAL ASSOCIATES

Facility Address:
7601 GERMANTOWN AVE
PHILADELPHIA, PA
ZIP 19119
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Facility Phone Number: 215 248-6090

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1205043304

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 39D1069657
LAB Type Physician Office
Facility Name DEBRADY MEDICAL ASSOCIATES
Street 7601 GERMANTOWN AVE
City PHILADELPHIA
State PA
ZIP 19119
Phone 215 248-6090
CertificateType 4
CertificateEffectiveDate 9/3/2023
CertificateExpirationDate 9/2/2025
FacilityType Waiver

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