39D2053761 CLIA NUMBER - GERMANTOWN MEDICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 39D2053761
  • Facility Name: GERMANTOWN MEDICAL ASSOCIATES
  • Facility Address: 5555 GERMANTOWN AVENUE
    PHILADELPHIA, PA
    ZIP 19144
  • Facility Phone: 215 991-9006
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL R. MCCOY MD
  • NPI Number: 1083669055
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 39D2053761
LAB Type Physician Office
Facility Name GERMANTOWN MEDICAL ASSOCIATES
Street 5555 GERMANTOWN AVENUE
City PHILADELPHIA
State PA
ZIP 19144
Phone 215 991-9006
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Physician Office
Lab Director DR. MICHAEL R. MCCOY MD

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