39D2031325 CLIA NUMBER - TEMPLE PHYSICIANS DIABETES CARE

Laboratory Demographics

  • CLIA Code: 39D2031325
  • Facility Name: TEMPLE PHYSICIANS DIABETES CARE
  • Facility Address: 2301 E ALLEGHENY AVE SUITE 190-A
    PHILADELPHIA, PA
    ZIP 19134
  • Facility Phone: 215 926-3780
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. EMMANUEL QUIEN MD
  • NPI Number: 1457403164
  • Taxonomy: 207Q00000X - Family Medicine

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2023
Certificate Expiration Date 10/17/2025
Facility Type Physician Office
Lab Director DR. EMMANUEL QUIEN MD

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