39D2119395 CLIA NUMBER - BUTTERWICK MEDICAL

Laboratory Demographics

  • CLIA Code: 39D2119395
  • Facility Name: BUTTERWICK MEDICAL
  • Facility Address: 283 2ND STREET PIKE SUITE #145
    SOUTHAMPTON, PA
    ZIP 18966
  • Facility Phone: 215 322-2213
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LAURA A. BUTTERWICK
  • NPI Number: 1144723677
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2119395
LAB Type Physician Office
Facility Name BUTTERWICK MEDICAL
Street 283 2ND STREET PIKE SUITE #145
City SOUTHAMPTON
State PA
ZIP 18966
Phone 215 322-2213
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2024
Certificate Expiration Date 9/26/2026
Facility Type Physician Office
Lab Director DR. LAURA A. BUTTERWICK

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