39D2136333 CLIA NUMBER - SCOTT ROSENTHAL DO

Laboratory Demographics

  • CLIA Code: 39D2136333
  • Facility Name: SCOTT ROSENTHAL DO
  • Facility Address: 2701 HOLME AVE, SUITE 205
    PHILADELPHIA, PA
    ZIP 19152
  • Facility Phone: 215 338-1811
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SCOTT E. ROSENTHAL
  • NPI Number: 1861494023
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 39D2136333
LAB Type Physician Office
Facility Name SCOTT ROSENTHAL DO
Street 2701 HOLME AVE, SUITE 205
City PHILADELPHIA
State PA
ZIP 19152
Phone 215 338-1811
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2025
Certificate Expiration Date 9/6/2027
Facility Type Physician Office
Lab Director DR. SCOTT E. ROSENTHAL

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