39D2076389 CLIA NUMBER - THOMAS JEFFERSON UNIV HOSP MOD COMPLEXITY POCT

Laboratory Demographics

  • CLIA Code: 39D2076389
  • Facility Name: THOMAS JEFFERSON UNIV HOSP MOD COMPLEXITY POCT
  • Facility Address: 117 S 11TH ST SUITE 401 FOERDERER PAVILION
    PHILADELPHIA, PA
    ZIP 19107
  • Facility Phone: 215 955-3941
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. BARBARA M. GOLDSMITH
  • NPI Number: 1508011313
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 39D2076389
LAB Type Hospital
Facility Name THOMAS JEFFERSON UNIV HOSP MOD COMPLEXITY POCT
Street 117 S 11TH ST SUITE 401 FOERDERER PAVILION
City PHILADELPHIA
State PA
ZIP 19107
Phone 215 955-3941
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 7/30/2024
Certificate Expiration Date 7/29/2026
Facility Type Hospital
Lab Director DR. BARBARA M. GOLDSMITH

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