39D2031325 CLIA NUMBER - TEMPLE PHYSICIANS DIABETES CARE

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Laboratory Demographics

CLIA Number: 39D2031325

Facility Name: TEMPLE PHYSICIANS DIABETES CARE

Facility Address:
2301 E ALLEGHENY AVE SUITE 190-A
PHILADELPHIA, PA
ZIP 19134
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Facility Phone Number: 215 926-3780

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1457403164

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	39D2031325
LAB Type	Physician Office
Facility Name	TEMPLE PHYSICIANS DIABETES CARE
Street	2301 E ALLEGHENY AVE SUITE 190-A
City	PHILADELPHIA
State	PA
ZIP	19134
Phone	215 926-3780
CertificateType	4
CertificateEffectiveDate	10/18/2023
CertificateExpirationDate	10/17/2025
FacilityType	Waiver

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