39D2128077 CLIA NUMBER - TEMPLE FACULTY PHYSICIANS

Laboratory Demographics

  • CLIA Code: 39D2128077
  • Facility Name: TEMPLE FACULTY PHYSICIANS
  • Facility Address: 515 PENNSYLVANIA AVENUE SUITE B, 2ND FLOOR
    FORT WASHINGTON, PA
    ZIP 19034
  • Facility Phone: 215 540-1270
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. AUDREY B. UKNIS
  • NPI Number: 1811470271
  • Taxonomy: 207RR0500X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2128077
LAB Type Physician Office
Facility Name TEMPLE FACULTY PHYSICIANS
Street 515 PENNSYLVANIA AVENUE SUITE B, 2ND FLOOR
City FORT WASHINGTON
State PA
ZIP 19034
Phone 215 540-1270
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2025
Certificate Expiration Date 4/19/2027
Facility Type Physician Office
Lab Director DR. AUDREY B. UKNIS

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