39D2057424 CLIA NUMBER - HEALTH ADVOCATE BIOMETRIC SCREENING PROGRAM

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Laboratory Demographics

CLIA Number: 39D2057424

Facility Name: HEALTH ADVOCATE BIOMETRIC SCREENING PROGRAM

Facility Address:
3043 WALTON ROAD
PLYMOUTH MEETING, PA
ZIP 19462
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Facility Phone Number: 610 825-1222

Facility Type: Other - WELLNESS SCREENINGS

Certificate Type: Waiver

NPI Number: 1750702700

Taxonomy: 163WC1500X - Registered Nurse

CLIA Record

Field Name	Field Value
CLIA Number	39D2057424
LAB Type	Other - WELLNESS SCREENINGS
Facility Name	HEALTH ADVOCATE BIOMETRIC SCREENING PROGRAM
Street	3043 WALTON ROAD
City	PLYMOUTH MEETING
State	PA
ZIP	19462
Phone	610 825-1222
CertificateType	4
CertificateEffectiveDate	4/17/2023
CertificateExpirationDate	4/16/2025
FacilityType	Waiver

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