39D2124107 CLIA NUMBER - AFC URGENT CARE

Laboratory Demographics

CLIA Number: 39D2124107

Facility Name: AFC URGENT CARE

Facility Address:
2231 BRYN MAWR AVE
PHILADELPHIA, PA
ZIP 19131
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Facility Phone Number: 215 883-0800

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1225505936

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	39D2124107
LAB Type	Physician Office
Facility Name	AFC URGENT CARE
Street	2231 BRYN MAWR AVE
City	PHILADELPHIA
State	PA
ZIP	19131
Phone	215 883-0800
CertificateType	4
CertificateEffectiveDate	1/10/2023
CertificateExpirationDate	1/9/2025
FacilityType	Waiver

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