39D2184024 CLIA NUMBER - MIDLANTIC UROLOGY SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 39D2184024
  • Facility Name: MIDLANTIC UROLOGY SURGERY CENTER LLC
  • Facility Address: 656 EAST SWEDESFORD ROAD, SUITE 100
    WAYNE, PA
    ZIP 19087
  • Facility Phone: 610 273-5320
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. THOMAS F. LANCHONEY
  • NPI Number: 1811534555
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2184024
LAB Type Ambulatory Surgery Center
Facility Name MIDLANTIC UROLOGY SURGERY CENTER LLC
Street 656 EAST SWEDESFORD ROAD, SUITE 100
City WAYNE
State PA
ZIP 19087
Phone 610 273-5320
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2024
Certificate Expiration Date 5/13/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. THOMAS F. LANCHONEY

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