39D2124358 CLIA NUMBER - ON DEMAND URGENT CARE GROUP, PC

Laboratory Demographics

  • CLIA Code: 39D2124358
  • Facility Name: ON DEMAND URGENT CARE GROUP, PC
  • Facility Address: 1217 SOUTH BROAD STREET
    PHILADELPHIA, PA
    ZIP 19147
  • Facility Phone: 215 999-1217
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: DR. ROBERT A. CZINCILA
  • NPI Number: 1811432776
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2124358
LAB Type Other - URGENT CARE
Facility Name ON DEMAND URGENT CARE GROUP, PC
Street 1217 SOUTH BROAD STREET
City PHILADELPHIA
State PA
ZIP 19147
Phone 215 999-1217
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/16/2025
Certificate Expiration Date 1/15/2027
Facility Type Other - URGENT CARE
Lab Director DR. ROBERT A. CZINCILA

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