39D2163682 CLIA NUMBER - ON DEMAND URGENT CARE GROUP PC DBA VYBE URGENT CARE

Laboratory Demographics

CLIA Number: 39D2163682

Facility Name: ON DEMAND URGENT CARE GROUP PC DBA VYBE URGENT CARE

Facility Address:
1500 SPRING GARDEN STREET, SUITE R105
PHILADELPHIA, PA
ZIP 19130
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Facility Phone Number: 267 768-8288

Facility Type: Other - URGENT CARE

Certificate Type: Waiver

NPI Number: 1114491594

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	39D2163682
LAB Type	Other - URGENT CARE
Facility Name	ON DEMAND URGENT CARE GROUP PC DBA VYBE URGENT CARE
Street	1500 SPRING GARDEN STREET, SUITE R105
City	PHILADELPHIA
State	PA
ZIP	19130
Phone	267 768-8288
CertificateType	4
CertificateEffectiveDate	3/20/2023
CertificateExpirationDate	3/19/2025
FacilityType	Waiver

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