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39D2107461 CLIA NUMBER - TEMPLE GENETICS LABORATORY

Laboratory Demographics

CLIA Number: 39D2107461

Facility Name: TEMPLE GENETICS LABORATORY

Facility Address:
3500 NORTH BROAD STREET
PHILADELPHIA, PA
ZIP 19140
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Facility Phone Number: 215 707-5415

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Certificate of Compliance
NPI Number: 1285622100

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 39D2107461
LAB Type Ancillary Testing Site in Health Care Center
Facility Name TEMPLE GENETICS LABORATORY
Street 3500 NORTH BROAD STREET
City PHILADELPHIA
State PA
ZIP 19140
Phone 215 707-5415
CertificateType 2
CertificateEffectiveDate 5/24/2022
CertificateExpirationDate 5/23/2024
FacilityType Compliance

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This page was last updated on: 4/23/2024