39D2081055 CLIA NUMBER - STEPHEN KLEIN WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 39D2081055
  • Facility Name: STEPHEN KLEIN WELLNESS CENTER
  • Facility Address: 2144 CECIL B MOORE
    PHILADELPHIA, PA
    ZIP 19121
  • Facility Phone: 215 320-6187
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: DR. PATRICK DOGGETT
  • NPI Number: 1609122506
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2081055
LAB Type Federally Qualified Health Center
Facility Name STEPHEN KLEIN WELLNESS CENTER
Street 2144 CECIL B MOORE
City PHILADELPHIA
State PA
ZIP 19121
Phone 215 320-6187
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/18/2024
Certificate Expiration Date 7/17/2026
Facility Type Federally Qualified Health Center
Lab Director DR. PATRICK DOGGETT

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