39D2149645 CLIA NUMBER - AIDS HEALTHCARE FOUNDATION

Laboratory Demographics

  • CLIA Code: 39D2149645
  • Facility Name: AIDS HEALTHCARE FOUNDATION
  • Facility Address: 1211 CHESTNUT STREET SUITE 405
    PHILADELPHIA, PA
    ZIP 19107
  • Facility Phone: 310 999-6089
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. FARAH AHMEDI
  • NPI Number: 1912412941
  • Taxonomy: 3336S0011X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2149645
LAB Type Community Clinic
Facility Name AIDS HEALTHCARE FOUNDATION
Street 1211 CHESTNUT STREET SUITE 405
City PHILADELPHIA
State PA
ZIP 19107
Phone 310 999-6089
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 Community Clinic
Lab Director DR. FARAH AHMEDI

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