39D2117576 CLIA NUMBER - CHOP PRIMARY CARE - COLLEGEVILLE

Laboratory Demographics

CLIA Number: 39D2117576

Facility Name: CHOP PRIMARY CARE - COLLEGEVILLE

Facility Address:
3770 RIDGE PIKE, BUILDING B GROUND LEVEL, SUITE 1
COLLEGEVILLE, PA
ZIP 19426
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Facility Phone Number: 610 489-8130

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1598323289

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name	Field Value
CLIA Number	39D2117576
LAB Type	Physician Office
Facility Name	CHOP PRIMARY CARE - COLLEGEVILLE
Street	3770 RIDGE PIKE, BUILDING B GROUND LEVEL, SUITE 1
City	COLLEGEVILLE
State	PA
ZIP	19426
Phone	610 489-8130
CertificateType	4
CertificateEffectiveDate	8/19/2022
CertificateExpirationDate	8/18/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024