39D1084380 CLIA NUMBER - GERMANTOWN PROFESSIONAL ASSOCIATES

Laboratory Demographics

CLIA Number: 39D1084380

Facility Name: GERMANTOWN PROFESSIONAL ASSOCIATES

Facility Address:
5753 WAYNE AVENUE
PHILADELPHIA, PA
ZIP 19144
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Facility Phone Number: 215 848-8800

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1083669055

Taxonomy: 2080A0000X - Pediatrics
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

CLIA Record

Field Name	Field Value
CLIA Number	39D1084380
LAB Type	Physician Office
Facility Name	GERMANTOWN PROFESSIONAL ASSOCIATES
Street	5753 WAYNE AVENUE
City	PHILADELPHIA
State	PA
ZIP	19144
Phone	215 848-8800
CertificateType	3
CertificateEffectiveDate	9/29/2022
CertificateExpirationDate	9/28/2024
FacilityType	PPMP

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