39D2118009 CLIA NUMBER - THOMAS JEFFERSON UNIVERSITY STUDENT HEALTH

Laboratory Demographics

CLIA Number: 39D2118009

Facility Name: THOMAS JEFFERSON UNIVERSITY STUDENT HEALTH

Facility Address:
4201 HENRY AVE
PHILADELPHIA, PA
ZIP 19144
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Facility Phone Number: 215 951-2986

Facility Type: Practitioner Other

Certificate Type: Waiver

CLIA Record

Field Name	Field Value
CLIA Number	39D2118009
LAB Type	Practitioner Other
Facility Name	THOMAS JEFFERSON UNIVERSITY STUDENT HEALTH
Street	4201 HENRY AVE
City	PHILADELPHIA
State	PA
ZIP	19144
Phone	215 951-2986
CertificateType	4
CertificateEffectiveDate	6/12/2023
CertificateExpirationDate	6/11/2025
FacilityType	Waiver

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