39D2025978 CLIA NUMBER - TEMPLE FACULTY PEDIATRIC ASSOCIATES

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Laboratory Demographics

CLIA Number: 39D2025978

Facility Name: TEMPLE FACULTY PEDIATRIC ASSOCIATES

Facility Address:
3223 N BROAD STREET
PHILADELPHIA, PA
ZIP 19140
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Facility Phone Number: 215 707-6106

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1821086851

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name	Field Value
CLIA Number	39D2025978
LAB Type	Physician Office
Facility Name	TEMPLE FACULTY PEDIATRIC ASSOCIATES
Street	3223 N BROAD STREET
City	PHILADELPHIA
State	PA
ZIP	19140
Phone	215 707-6106
CertificateType	4
CertificateEffectiveDate	6/22/2023
CertificateExpirationDate	6/21/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024