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

Laboratory Demographics

CLIA Number: 39D2124358

Facility Name: ON DEMAND URGENT CARE GROUP, PC

Facility Address:
1217 SOUTH BROAD STREET
PHILADELPHIA, PA
ZIP 19147
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Facility Phone Number: 215 999-1217

Facility Type: Other - URGENT CARE

Certificate Type: Waiver

NPI Number: 1811432776

Taxonomy: 261QU0200X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	1/16/2023
CertificateExpirationDate	1/15/2025
FacilityType	Waiver

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