39D2010365 CLIA NUMBER - PUENTES DE SALUD

Laboratory Demographics

  • CLIA Code: 39D2010365
  • Facility Name: PUENTES DE SALUD
  • Facility Address: 1700 SOUTH STREET
    PHILADELPHIA, PA
    ZIP 19146
  • Facility Phone: (215) 454-8004
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: DR. STEVEN C. LARSON

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CLIA Record

Field Name Field Value
CLIA Number 39D2010365
LAB Type Community Clinic
Facility Name PUENTES DE SALUD
Street 1700 SOUTH STREET
City PHILADELPHIA
State PA
ZIP 19146
Phone 2154548004
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/19/2024
Certificate Expiration Date 8/18/2026
Facility Type Community Clinic
Lab Director DR. STEVEN C. LARSON

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This page was last updated on: 5/18/2026