39D2130857 CLIA NUMBER - COMMUNITY WELLNESS HUB AT DORNSIFE CTR, DREXEL U

Laboratory Demographics

  • CLIA Code: 39D2130857
  • Facility Name: COMMUNITY WELLNESS HUB AT DORNSIFE CTR, DREXEL U
  • Facility Address: 3509 SPRING GARDEN ST 2ND FL
    PHILADELPHIA, PA
    ZIP 19104
  • Facility Phone: 215 571-3241
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. ANNETTE B. GADEGBEKU
  • NPI Number: 1629292800
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 39D2130857
LAB Type Community Clinic
Facility Name COMMUNITY WELLNESS HUB AT DORNSIFE CTR, DREXEL U
Street 3509 SPRING GARDEN ST 2ND FL
City PHILADELPHIA
State PA
ZIP 19104
Phone 215 571-3241
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2025
Certificate Expiration Date 5/17/2027
Facility Type Community Clinic
Lab Director DR. ANNETTE B. GADEGBEKU

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