39D2054387 CLIA NUMBER - PHILADELPHIA SEXUAL ASSUALT RESPONSE CENTER

Laboratory Demographics

  • CLIA Code: 39D2054387
  • Facility Name: PHILADELPHIA SEXUAL ASSUALT RESPONSE CENTER
  • Facility Address: 300 EAST HUNTING PARK AVENUE
    PHILADELPHIA, PA
    ZIP 19124
  • Facility Phone: 215 800-1589
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RICHARD H. HAMILTON
  • NPI Number: 1346396736
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 39D2054387
LAB Type Physician Office
Facility Name PHILADELPHIA SEXUAL ASSUALT RESPONSE CENTER
Street 300 EAST HUNTING PARK AVENUE
City PHILADELPHIA
State PA
ZIP 19124
Phone 215 800-1589
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2025
Certificate Expiration Date 2/19/2027
Facility Type Physician Office
Lab Director DR. RICHARD H. HAMILTON

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