39D2032939 CLIA NUMBER - ON DEMAND URGENT CARE GROUP PC

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Laboratory Demographics

CLIA Number: 39D2032939

Facility Name: ON DEMAND URGENT CARE GROUP PC

Facility Address:
1305 WEST CHESTER PIKE
HAVERTOWN, PA
ZIP 19083
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Facility Phone Number: 215 999-6060

Facility Type: Other - URGENT CARE CENTER

Certificate Type: Waiver

NPI Number: 1255836789

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	39D2032939
LAB Type	Other - URGENT CARE CENTER
Facility Name	ON DEMAND URGENT CARE GROUP PC
Street	1305 WEST CHESTER PIKE
City	HAVERTOWN
State	PA
ZIP	19083
Phone	215 999-6060
CertificateType	4
CertificateEffectiveDate	11/18/2023
CertificateExpirationDate	11/17/2025
FacilityType	Waiver

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