39D1083751 CLIA NUMBER - JEFFERSON HONICKMAN CTR LAB

Laboratory Demographics

  • CLIA Code: 39D1083751
  • Facility Name: JEFFERSON HONICKMAN CTR LAB
  • Facility Address: 1101 CHESTNUT ST, ROOM 4300
    PHILADELPHIA, PA
    ZIP 19107
  • Facility Phone: 215 955-8254
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. JERALD Z. GONG
  • NPI Number: 1972977627
  • Taxonomy: 261QE0800X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D1083751
LAB Type Hospital
Facility Name JEFFERSON HONICKMAN CTR LAB
Street 1101 CHESTNUT ST, ROOM 4300
City PHILADELPHIA
State PA
ZIP 19107
Phone 215 955-8254
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 5/21/2025
Certificate Expiration Date 5/20/2027
Facility Type Hospital
Lab Director DR. JERALD Z. GONG

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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