39D2022007 CLIA NUMBER - TOHICKON INTERNAL MEDICINE LLC

Laboratory Demographics

  • CLIA Code: 39D2022007
  • Facility Name: TOHICKON INTERNAL MEDICINE LLC
  • Facility Address: 1456 FERRY ROAD SUITE 400
    DOYLESTOWN, PA
    ZIP 18901
  • Facility Phone: 267 880-6350
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SUSAN A. FISK SANDER MD
  • NPI Number: 1639472061
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2022007
LAB Type Physician Office
Facility Name TOHICKON INTERNAL MEDICINE LLC
Street 1456 FERRY ROAD SUITE 400
City DOYLESTOWN
State PA
ZIP 18901
Phone 267 880-6350
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Physician Office
Lab Director DR. SUSAN A. FISK SANDER MD

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