39D2081054 CLIA NUMBER - HUB OF HOPE

Laboratory Demographics

  • CLIA Code: 39D2081054
  • Facility Name: HUB OF HOPE
  • Facility Address: 1401 ARCH STREET, SUBCONCOURSE LEVEL
    PHILADELPHIA, PA
    ZIP 19102
  • Facility Phone: 215 232-7272
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. IVEL MORALES
  • NPI Number: 1982035366
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2081054
LAB Type Federally Qualified Health Center
Facility Name HUB OF HOPE
Street 1401 ARCH STREET, SUBCONCOURSE LEVEL
City PHILADELPHIA
State PA
ZIP 19102
Phone 215 232-7272
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2024
Certificate Expiration Date 7/17/2026
Facility Type Federally Qualified Health Center
Lab Director DR. IVEL MORALES

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This page was last updated on: 6/4/2025