39D2008554 CLIA NUMBER - PEOPLE FOR PEOPLE HOPE CENTER

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Laboratory Demographics

CLIA Number: 39D2008554

Facility Name: PEOPLE FOR PEOPLE HOPE CENTER

Facility Address:
716 N BROAD STREET
PHILADELPHIA, PA
ZIP 19130
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Facility Phone Number: 267 546-3600

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1053797423

Taxonomy: 363LP0200X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	39D2008554
LAB Type	Community Clinic
Facility Name	PEOPLE FOR PEOPLE HOPE CENTER
Street	716 N BROAD STREET
City	PHILADELPHIA
State	PA
ZIP	19130
Phone	267 546-3600
CertificateType	4
CertificateEffectiveDate	6/14/2022
CertificateExpirationDate	6/13/2024
FacilityType	Waiver

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