39D1086600 CLIA NUMBER - CENTER CITY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 39D1086600
  • Facility Name: CENTER CITY PEDIATRICS
  • Facility Address: 1740 SOUTH STREET, SUITE 200
    PHILADELPHIA, PA
    ZIP 19146
  • Facility Phone: 215 735-5600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ERIC D. BERGER
  • NPI Number: 1407284755
  • Taxonomy: 235Z00000X - Speech-Language Pathologist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D1086600
LAB Type Physician Office
Facility Name CENTER CITY PEDIATRICS
Street 1740 SOUTH STREET, SUITE 200
City PHILADELPHIA
State PA
ZIP 19146
Phone 215 735-5600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2024
Certificate Expiration Date 7/15/2026
Facility Type Physician Office
Lab Director DR. ERIC D. BERGER

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