39D2144427 CLIA NUMBER - DELAWARE RIVER SURGICAL SUITES, LLC

Laboratory Demographics

CLIA Number: 39D2144427

Facility Name: DELAWARE RIVER SURGICAL SUITES, LLC

Facility Address:
2800 KELLY RD, SUITE 100
WARRINGTON, PA
ZIP 18976
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Facility Phone Number: 215 607-2100

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1558879684

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	39D2144427
LAB Type	Ambulatory Surgery Center
Facility Name	DELAWARE RIVER SURGICAL SUITES, LLC
Street	2800 KELLY RD, SUITE 100
City	WARRINGTON
State	PA
ZIP	18976
Phone	215 607-2100
CertificateType	4
CertificateEffectiveDate	2/16/2024
CertificateExpirationDate	2/15/2026
FacilityType	Waiver

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