39D2097042 CLIA NUMBER - TEMPLE PHYSICIANS AT SOMERTON

Laboratory Demographics

  • CLIA Code: 39D2097042
  • Facility Name: TEMPLE PHYSICIANS AT SOMERTON
  • Facility Address: 12000 BUSTLETON AVE, SUITE 102
    PHILADELPHIA, PA
    ZIP 19116
  • Facility Phone: 215 673-7600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. PAMNEIT BHOGAL
  • NPI Number: 1811248925
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2097042
LAB Type Physician Office
Facility Name TEMPLE PHYSICIANS AT SOMERTON
Street 12000 BUSTLETON AVE, SUITE 102
City PHILADELPHIA
State PA
ZIP 19116
Phone 215 673-7600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2025
Certificate Expiration Date 6/7/2027
Facility Type Physician Office
Lab Director DR. PAMNEIT BHOGAL

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