39D2149642 CLIA NUMBER - DEDICATED SENIOR MEDICAL CENTER NORTH PHILADELPHIA

Laboratory Demographics

  • CLIA Code: 39D2149642
  • Facility Name: DEDICATED SENIOR MEDICAL CENTER NORTH PHILADELPHIA
  • Facility Address: 2101 W LEHIGH AVENUE, SUITE A
    PHILADELPHIA, PA
    ZIP 19132
  • Facility Phone: 267 566-7211
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SUMIT KUMAR
  • NPI Number: 1952804312
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2149642
LAB Type Physician Office
Facility Name DEDICATED SENIOR MEDICAL CENTER NORTH PHILADELPHIA
Street 2101 W LEHIGH AVENUE, SUITE A
City PHILADELPHIA
State PA
ZIP 19132
Phone 267 566-7211
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2024
Certificate Expiration Date 6/6/2026
Facility Type Physician Office
Lab Director DR. SUMIT KUMAR

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