39D2187975 CLIA NUMBER - DEDICATED SENIOR MEDICAL CENTER - WHITMAN

Laboratory Demographics

  • CLIA Code: 39D2187975
  • Facility Name: DEDICATED SENIOR MEDICAL CENTER - WHITMAN
  • Facility Address: 330 WEST OREGON AVE
    PHILADELPHIA, PA
    ZIP 19148
  • Facility Phone: 267 566-7211
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SUMIT KUMAR
  • NPI Number: 1023655602
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D2187975
LAB Type Physician Office
Facility Name DEDICATED SENIOR MEDICAL CENTER - WHITMAN
Street 330 WEST OREGON AVE
City PHILADELPHIA
State PA
ZIP 19148
Phone 267 566-7211
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2024
Certificate Expiration Date 7/9/2026
Facility Type Physician Office
Lab Director DR. SUMIT KUMAR

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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