39D2023435 CLIA NUMBER - HOLY REDEEMER FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 39D2023435
  • Facility Name: HOLY REDEEMER FAMILY MEDICINE
  • Facility Address: 3300 TILLMAN DRIVE
    BENSALEM, PA
    ZIP 19020
  • Facility Phone: (215) 914-4444
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. SUBBARAO GORTI
  • NPI Number: 1467973305
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 39D2023435
LAB Type Physician Office
Facility Name HOLY REDEEMER FAMILY MEDICINE
Street 3300 TILLMAN DRIVE
City BENSALEM
State PA
ZIP 19020
Phone 2159144444
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 4/25/2025
Certificate Expiration Date 4/24/2027
Facility Type Physician Office
Lab Director DR. SUBBARAO GORTI

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This page was last updated on: 5/15/2026