39D2097406 CLIA NUMBER - JEFFERSON URGENT CARE

Laboratory Demographics

  • CLIA Code: 39D2097406
  • Facility Name: JEFFERSON URGENT CARE
  • Facility Address: 700 WALNUT STREET
    PHILADELPHIA, PA
    ZIP 19106
  • Facility Phone: 215 503-7300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CHRISTINA H. CHIEN
  • NPI Number: 1356827729
  • Taxonomy: 207ZP0102X - Pathology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D2097406
LAB Type Physician Office
Facility Name JEFFERSON URGENT CARE
Street 700 WALNUT STREET
City PHILADELPHIA
State PA
ZIP 19106
Phone 215 503-7300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2023
Certificate Expiration Date 6/15/2025
Facility Type Physician Office
Lab Director DR. CHRISTINA H. CHIEN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025