39D1077501 CLIA NUMBER - UNIVERSAL MEDICAL RESPONSE

Laboratory Demographics

  • CLIA Code: 39D1077501
  • Facility Name: UNIVERSAL MEDICAL RESPONSE
  • Facility Address: 2860 HEDLEY ST
    PHILADELPHIA, PA
    ZIP 19137
  • Facility Phone: 215 677-7114
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: KORCHUK VLADIMIR
  • NPI Number: 1487719613
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 39D1077501
LAB Type Ambulance
Facility Name UNIVERSAL MEDICAL RESPONSE
Street 2860 HEDLEY ST
City PHILADELPHIA
State PA
ZIP 19137
Phone 215 677-7114
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2024
Certificate Expiration Date 8/8/2026
Facility Type Ambulance
Lab Director KORCHUK VLADIMIR

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