39D2189117 CLIA NUMBER - NAZARETH HEALTH RED LION

Laboratory Demographics

  • CLIA Code: 39D2189117
  • Facility Name: NAZARETH HEALTH RED LION
  • Facility Address: 9922 ROOSEVELT BLVD
    PHILADELPHIA, PA
    ZIP 19115
  • Facility Phone: 215 333-4894
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. SHRUTI SHARAM
  • NPI Number: 1861918708
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 39D2189117
LAB Type Physician Office
Facility Name NAZARETH HEALTH RED LION
Street 9922 ROOSEVELT BLVD
City PHILADELPHIA
State PA
ZIP 19115
Phone 215 333-4894
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/3/2025
Certificate Expiration Date 9/2/2027
Facility Type Physician Office
Lab Director DR. SHRUTI SHARAM

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