39D2107592 CLIA NUMBER - JEFFERSON URGENT CARE

Laboratory Demographics

  • CLIA Code: 39D2107592
  • Facility Name: JEFFERSON URGENT CARE
  • Facility Address: 2021 CHESTNUT STREET
    PHILADELPHIA, PA
    ZIP 19103
  • Facility Phone: 215 333-0304
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CHRISTINA H. CHIEN
  • NPI Number: 1013361575
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2107592
LAB Type Physician Office
Facility Name JEFFERSON URGENT CARE
Street 2021 CHESTNUT STREET
City PHILADELPHIA
State PA
ZIP 19103
Phone 215 333-0304
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2024
Certificate Expiration Date 1/18/2026
Facility Type Physician Office
Lab Director DR. CHRISTINA H. CHIEN

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