39D2094576 CLIA NUMBER - ROXBOROUGH MEDICAL EXPRESS CARE, LLC

Laboratory Demographics

  • CLIA Code: 39D2094576
  • Facility Name: ROXBOROUGH MEDICAL EXPRESS CARE, LLC
  • Facility Address: 701 CATHEDRAL ROAD, SUITE 11
    PHILADELPHIA, PA
    ZIP 19128
  • Facility Phone: 267 766-6321
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JOEL I. WAGMAN
  • NPI Number: 1033508742
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 39D2094576
LAB Type Physician Office
Facility Name ROXBOROUGH MEDICAL EXPRESS CARE, LLC
Street 701 CATHEDRAL ROAD, SUITE 11
City PHILADELPHIA
State PA
ZIP 19128
Phone 267 766-6321
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2025
Certificate Expiration Date 4/20/2027
Facility Type Physician Office
Lab Director DR. JOEL I. WAGMAN

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