39D2174585 CLIA NUMBER - GLENN MILLER FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 39D2174585
  • Facility Name: GLENN MILLER FAMILY MEDICINE
  • Facility Address: 700 FAYETTE ST
    CONSHOHOCKEN, PA
    ZIP 19428
  • Facility Phone: (610) 828-0358
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. GLENN G. MILLER
  • NPI Number: 1487820163
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2174585
LAB Type Physician Office
Facility Name GLENN MILLER FAMILY MEDICINE
Street 700 FAYETTE ST
City CONSHOHOCKEN
State PA
ZIP 19428
Phone 6108280358
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2025
Certificate Expiration Date 11/4/2027
Facility Type Physician Office
Lab Director DR. GLENN G. MILLER

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