39D2113729 CLIA NUMBER - PRIMARY CARE SERVICES AT FORT WASHINGTON ESTATES

Laboratory Demographics

  • CLIA Code: 39D2113729
  • Facility Name: PRIMARY CARE SERVICES AT FORT WASHINGTON ESTATES
  • Facility Address: 735 SUSQUEHANNA ROAD
    FORT WASHINGTON, PA
    ZIP 19034
  • Facility Phone: 267 787-4134
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ROBERT J. CHALFIN
  • NPI Number: 1518962315
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2113729
LAB Type Physician Office
Facility Name PRIMARY CARE SERVICES AT FORT WASHINGTON ESTATES
Street 735 SUSQUEHANNA ROAD
City FORT WASHINGTON
State PA
ZIP 19034
Phone 267 787-4134
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2024
Certificate Expiration Date 5/30/2026
Facility Type Physician Office
Lab Director DR. ROBERT J. CHALFIN

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This page was last updated on: 6/4/2025