39D2111216 CLIA NUMBER - NEMOURS DU PONT PEDIATRICS, GLEN MILLS

Laboratory Demographics

  • CLIA Code: 39D2111216
  • Facility Name: NEMOURS DU PONT PEDIATRICS, GLEN MILLS
  • Facility Address: 101 APPLIED BANK BLVD SUITE 11
    GLEN MILLS, PA
    ZIP 19342
  • Facility Phone: 302 651-4000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. STEVEN M. GOTTLIEB
  • NPI Number: 1427404912
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2111216
LAB Type Physician Office
Facility Name NEMOURS DU PONT PEDIATRICS, GLEN MILLS
Street 101 APPLIED BANK BLVD SUITE 11
City GLEN MILLS
State PA
ZIP 19342
Phone 302 651-4000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2024
Certificate Expiration Date 3/31/2026
Facility Type Physician Office
Lab Director DR. STEVEN M. GOTTLIEB

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