39D2056049 CLIA NUMBER - YARDLEY DERMATOLOGY ASSOCIATES

Laboratory Demographics

  • CLIA Code: 39D2056049
  • Facility Name: YARDLEY DERMATOLOGY ASSOCIATES
  • Facility Address: 903 FLORAL VALE BLVD
    YARDLEY, PA
    ZIP 19067
  • Facility Phone: 215 579-6155
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. RICHARD G. FRIED MD
  • NPI Number: 1750866273
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 39D2056049
LAB Type Physician Office
Facility Name YARDLEY DERMATOLOGY ASSOCIATES
Street 903 FLORAL VALE BLVD
City YARDLEY
State PA
ZIP 19067
Phone 215 579-6155
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/21/2025
Certificate Expiration Date 3/20/2027
Facility Type Physician Office
Lab Director DR. RICHARD G. FRIED MD

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