39D2172467 CLIA NUMBER - HOLLAND MEDICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 39D2172467
  • Facility Name: HOLLAND MEDICAL ASSOCIATES
  • Facility Address: 910 SECOND STREET PIKE, SUITE 102
    RICHBORO, PA
    ZIP 18954
  • Facility Phone: 215 464-0770
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: DR. MARK J. MULLEN
  • NPI Number: 1275533655
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2172467
LAB Type Prison
Facility Name HOLLAND MEDICAL ASSOCIATES
Street 910 SECOND STREET PIKE, SUITE 102
City RICHBORO
State PA
ZIP 18954
Phone 215 464-0770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2025
Certificate Expiration Date 9/23/2027
Facility Type Prison
Lab Director DR. MARK J. MULLEN

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