39D2118553 CLIA NUMBER - THE PENNSYLVANIA SURGERY & LASER CTR LLC

Laboratory Demographics

CLIA Number: 39D2118553

Facility Name: THE PENNSYLVANIA SURGERY & LASER CTR LLC

Facility Address:
601 FRANKLIN MILLS CIRCLE
PHILADELPHIA, PA
ZIP 19154
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Facility Phone Number: (215) 821-3131

Facility Type: AMBULATORY SURGERY CENTER

Certificate Type: Waiver

NPI Number: 1154787117

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	39D2118553
LAB Type	AMBULATORY SURGERY CENTER
Facility Name	THE PENNSYLVANIA SURGERY & LASER CTR LLC
Street	601 FRANKLIN MILLS CIRCLE
City	PHILADELPHIA
State	PA
ZIP	19154
Phone	(215) 821-3131

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This page was last updated on: 5/11/2023