39D2118465 CLIA NUMBER - PEEKABOO PEDIATRICS, PC

Laboratory Demographics

CLIA Number: 39D2118465

Facility Name: PEEKABOO PEDIATRICS, PC

Facility Address:
821 N 2ND STREET
PHILADELPHIA, PA
ZIP 19123
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Facility Phone Number: 267 702-3850

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1396101911

Taxonomy: 261QP2300X - Clinic/Center

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
CertificateType 4
CertificateEffectiveDate 9/8/2022
CertificateExpirationDate 9/7/2024
FacilityType Waiver

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