39D2107484 CLIA NUMBER - LAWRENCE PARK OB/GYN

Laboratory Demographics

  • CLIA Code: 39D2107484
  • Facility Name: LAWRENCE PARK OB/GYN
  • Facility Address: 1100 EAST HECTOR STREET
    CONSHOHOCKEN, PA
    ZIP 19428
  • Facility Phone: 610 325-1350
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RANDY HEINZEL
  • NPI Number: 1710140017
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 39D2107484
LAB Type Physician Office
Facility Name LAWRENCE PARK OB/GYN
Street 1100 EAST HECTOR STREET
City CONSHOHOCKEN
State PA
ZIP 19428
Phone 610 325-1350
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/14/2024
Certificate Expiration Date 1/13/2026
Facility Type Physician Office
Lab Director RANDY HEINZEL

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