39D2055587 CLIA NUMBER - SOCIETY HILL OPHTHALMIC ASSOCIATES

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Laboratory Demographics

CLIA Number: 39D2055587

Facility Name: SOCIETY HILL OPHTHALMIC ASSOCIATES

Facility Address:
700 SPRUCE STREET SUITE 100
PHILADELPHIA, PA
ZIP 19106
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Facility Phone Number: 215 829-5311

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1629166020

Taxonomy: 1223G0001X - Dentist
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

CLIA Record

Field Name	Field Value
CLIA Number	39D2055587
LAB Type	Physician Office
Facility Name	SOCIETY HILL OPHTHALMIC ASSOCIATES
Street	700 SPRUCE STREET SUITE 100
City	PHILADELPHIA
State	PA
ZIP	19106
Phone	215 829-5311
CertificateType	4
CertificateEffectiveDate	3/14/2023
CertificateExpirationDate	3/13/2025
FacilityType	Waiver

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