39D2094531 CLIA NUMBER - TEMPLE READY CARE- COTTMAN

Laboratory Demographics

  • CLIA Code: 39D2094531
  • Facility Name: TEMPLE READY CARE- COTTMAN
  • Facility Address: 2118 COTTMAN AVENUE SUITE 2
    PHILADELPHIA, PA
    ZIP 19149
  • Facility Phone: 215 926-9050
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SUSAN M. KURUVILLA
  • NPI Number: 1407254378
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2094531
LAB Type Physician Office
Facility Name TEMPLE READY CARE- COTTMAN
Street 2118 COTTMAN AVENUE SUITE 2
City PHILADELPHIA
State PA
ZIP 19149
Phone 215 926-9050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2025
Certificate Expiration Date 4/19/2027
Facility Type Physician Office
Lab Director DR. SUSAN M. KURUVILLA

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