39D2123552 CLIA NUMBER - CORE FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 39D2123552
  • Facility Name: CORE FAMILY PRACTICE
  • Facility Address: 413 WEST CYPRESS STREET
    KENNETT SQUARE, PA
    ZIP 19348
  • Facility Phone: (610) 612-9283
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RICHARD P. HAUG
  • NPI Number: 1417772617
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2123552
LAB Type Physician Office
Facility Name CORE FAMILY PRACTICE
Street 413 WEST CYPRESS STREET
City KENNETT SQUARE
State PA
ZIP 19348
Phone 6106129283
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2024
Certificate Expiration Date 12/22/2026
Facility Type Physician Office
Lab Director DR. RICHARD P. HAUG

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This page was last updated on: 5/18/2026