39D2166484 CLIA NUMBER - NEWTOWN SQUARE INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 39D2166484
  • Facility Name: NEWTOWN SQUARE INTERNAL MEDICINE
  • Facility Address: 3475 WEST CHESTER PIKE, SUITE 235
    NEWTOWN SQUARE, PA
    ZIP 19073
  • Facility Phone: (585) 330-8371
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MADELEINE HEANEY

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CLIA Record

Field Name Field Value
CLIA Number 39D2166484
LAB Type Physician Office
Facility Name NEWTOWN SQUARE INTERNAL MEDICINE
Street 3475 WEST CHESTER PIKE, SUITE 235
City NEWTOWN SQUARE
State PA
ZIP 19073
Phone 5853308371
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2025
Certificate Expiration Date 5/19/2027
Facility Type Physician Office
Lab Director MADELEINE HEANEY

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This page was last updated on: 5/18/2026