39D2076698 CLIA NUMBER - PHOENIXVILLE VALLEY FORGE DERMATOLOGY ASSOC

Laboratory Demographics

  • CLIA Code: 39D2076698
  • Facility Name: PHOENIXVILLE VALLEY FORGE DERMATOLOGY ASSOC
  • Facility Address: 1260 VALLEY FORGE ROAD SUITE 103
    PHOENIXVILLE, PA
    ZIP 19460
  • Facility Phone: 610 983-3980
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. PETER J. MOTEL
  • NPI Number: 1508158973
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 39D2076698
LAB Type Independent
Facility Name PHOENIXVILLE VALLEY FORGE DERMATOLOGY ASSOC
Street 1260 VALLEY FORGE ROAD SUITE 103
City PHOENIXVILLE
State PA
ZIP 19460
Phone 610 983-3980
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/30/2024
Certificate Expiration Date 3/29/2026
Facility Type Independent
Lab Director DR. PETER J. MOTEL

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