39D2076823 CLIA NUMBER - SOMERTON FAMILY MEDICINE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 39D2076823
  • Facility Name: SOMERTON FAMILY MEDICINE ASSOCIATES
  • Facility Address: 23 BUSTLETON AVE
    FEASTERVILLE, PA
    ZIP 19053
  • Facility Phone: 215 464-9599
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DOUGLAS G. KIMMEL
  • NPI Number: 1962497131
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2076823
LAB Type Physician Office
Facility Name SOMERTON FAMILY MEDICINE ASSOCIATES
Street 23 BUSTLETON AVE
City FEASTERVILLE
State PA
ZIP 19053
Phone 215 464-9599
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2024
Certificate Expiration Date 4/27/2026
Facility Type Physician Office
Lab Director DR. DOUGLAS G. KIMMEL

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