39D2134665 CLIA NUMBER - QUANTUM HEALTH PRACTICE LLC

Laboratory Demographics

  • CLIA Code: 39D2134665
  • Facility Name: QUANTUM HEALTH PRACTICE LLC
  • Facility Address: 505 OLD YORK RD UNIT 7A
    JENKINTOWN, PA
    ZIP 19046
  • Facility Phone: 267 626-2334
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CAROL A. LUDOLPH
  • NPI Number: 1497299085
  • Taxonomy: 208VP0000X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2134665
LAB Type Physician Office
Facility Name QUANTUM HEALTH PRACTICE LLC
Street 505 OLD YORK RD UNIT 7A
City JENKINTOWN
State PA
ZIP 19046
Phone 267 626-2334
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2025
Certificate Expiration Date 8/7/2027
Facility Type Physician Office
Lab Director DR. CAROL A. LUDOLPH

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