39D2119909 CLIA NUMBER - ADVOCARE MONTGOMERY GYNECOLOGY

Laboratory Demographics

  • CLIA Code: 39D2119909
  • Facility Name: ADVOCARE MONTGOMERY GYNECOLOGY
  • Facility Address: 115 PLYMOUTH ROAD , SUITE 5
    PLYMOUTH MEETING, PA
    ZIP 19462
  • Facility Phone: 215 444-3411
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. HEMA JONNALAGADDA
  • NPI Number: 1609504943
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 39D2119909
LAB Type Physician Office
Facility Name ADVOCARE MONTGOMERY GYNECOLOGY
Street 115 PLYMOUTH ROAD , SUITE 5
City PLYMOUTH MEETING
State PA
ZIP 19462
Phone 215 444-3411
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2025
Certificate Expiration Date 9/7/2027
Facility Type Physician Office
Lab Director DR. HEMA JONNALAGADDA

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