39D2118465 CLIA NUMBER - PEEKABOO PEDIATRICS, PC

Laboratory Demographics

  • CLIA Code: 39D2118465
  • Facility Name: PEEKABOO PEDIATRICS, PC
  • Facility Address: 821 N 2ND STREET
    PHILADELPHIA, PA
    ZIP 19123
  • Facility Phone: 267 702-3850
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KATRINA P. POBLETE
  • NPI Number: 1396101911
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2118465
LAB Type Physician Office
Facility Name PEEKABOO PEDIATRICS, PC
Street 821 N 2ND STREET
City PHILADELPHIA
State PA
ZIP 19123
Phone 267 702-3850
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2024
Certificate Expiration Date 9/7/2026
Facility Type Physician Office
Lab Director DR. KATRINA P. POBLETE

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