39D2098197 CLIA NUMBER - MY DOC URGENT CARE

Laboratory Demographics

  • CLIA Code: 39D2098197
  • Facility Name: MY DOC URGENT CARE
  • Facility Address: 1420 LOCUST ST R1A
    PHILADELPHIA, PA
    ZIP 19102
  • Facility Phone: 215 815-4650
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: DR. WANZHU TANG
  • NPI Number: 1689067472
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2098197
LAB Type Other - URGENT CARE
Facility Name MY DOC URGENT CARE
Street 1420 LOCUST ST R1A
City PHILADELPHIA
State PA
ZIP 19102
Phone 215 815-4650
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2024
Certificate Expiration Date 10/23/2026
Facility Type Other - URGENT CARE
Lab Director DR. WANZHU TANG

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