39D2010484 CLIA NUMBER - PHYSICAL THERAPY PHYSICIANS

Laboratory Demographics

  • CLIA Code: 39D2010484
  • Facility Name: PHYSICAL THERAPY PHYSICIANS
  • Facility Address: 1788 WILMINGTON PK, SUITE 100
    GLEN MILLS, PA
    ZIP 19342
  • Facility Phone: 610 490-3900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JAMES F. BONNER
  • NPI Number: 1619142353
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D2010484
LAB Type Physician Office
Facility Name PHYSICAL THERAPY PHYSICIANS
Street 1788 WILMINGTON PK, SUITE 100
City GLEN MILLS
State PA
ZIP 19342
Phone 610 490-3900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2024
Certificate Expiration Date 7/28/2026
Facility Type Physician Office
Lab Director DR. JAMES F. BONNER

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