39D2111699 CLIA NUMBER - MARY - ANNE OST MD LTD

Laboratory Demographics

  • CLIA Code: 39D2111699
  • Facility Name: MARY - ANNE OST MD LTD
  • Facility Address: 1 COMMERCE BLVD SUITE 203
    WEST GROVE, PA
    ZIP 19390
  • Facility Phone: 610 869-0311
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARY-ANNE OST
  • NPI Number: 1740249697
  • Taxonomy: 207QG0300X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2111699
LAB Type Physician Office
Facility Name MARY - ANNE OST MD LTD
Street 1 COMMERCE BLVD SUITE 203
City WEST GROVE
State PA
ZIP 19390
Phone 610 869-0311
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2024
Certificate Expiration Date 4/12/2026
Facility Type Physician Office
Lab Director DR. MARY-ANNE OST

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