39D2081054 CLIA NUMBER - HUB OF HOPE

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Laboratory Demographics

CLIA Number: 39D2081054

Facility Name: HUB OF HOPE

Facility Address:
1401 ARCH STREET, SUBCONCOURSE LEVEL
PHILADELPHIA, PA
ZIP 19102
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Facility Phone Number: 215 232-7272

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1982035366

Taxonomy: 261QF0400X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	7/18/2022
CertificateExpirationDate	7/17/2024
FacilityType	Waiver

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