39D2162639 CLIA NUMBER - WEST PHILADELPHIA CLINIC

Laboratory Demographics

  • CLIA Code: 39D2162639
  • Facility Name: WEST PHILADELPHIA CLINIC
  • Facility Address: 6232 MARKET STREET SUITE 100
    PHILADELPHIA, PA
    ZIP 19139
  • Facility Phone: 215 222-7540
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: SHARVARI DALAL
  • NPI Number: 1427430792
  • Taxonomy: 111NR0400X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 39D2162639
LAB Type Community Clinic
Facility Name WEST PHILADELPHIA CLINIC
Street 6232 MARKET STREET SUITE 100
City PHILADELPHIA
State PA
ZIP 19139
Phone 215 222-7540
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/27/2019
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director SHARVARI DALAL

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