39D2016250 CLIA NUMBER - ADVANCED NEUROLOGY ASSOCIATES, PC

Laboratory Demographics

  • CLIA Code: 39D2016250
  • Facility Name: ADVANCED NEUROLOGY ASSOCIATES, PC
  • Facility Address: 822 PINE ST SUITE 1C
    PHILADELPHIA, PA
    ZIP 19107
  • Facility Phone: 267 639-4400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. OLGA A. KATZ
  • NPI Number: 1225121874
  • Taxonomy: 171100000X - Acupuncturist

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CLIA Record

Field Name Field Value
CLIA Number 39D2016250
LAB Type Physician Office
Facility Name ADVANCED NEUROLOGY ASSOCIATES, PC
Street 822 PINE ST SUITE 1C
City PHILADELPHIA
State PA
ZIP 19107
Phone 267 639-4400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2024
Certificate Expiration Date 11/14/2026
Facility Type Physician Office
Lab Director DR. OLGA A. KATZ

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This page was last updated on: 9/29/2025