39D2189117 CLIA NUMBER - NAZARETH HEALTH RED LION

Laboratory Demographics

CLIA Number: 39D2189117

Facility Name: NAZARETH HEALTH RED LION

Facility Address:
9922 ROOSEVELT BLVD
PHILADELPHIA, PA
ZIP 19115
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Facility Phone Number: 215 333-4894

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1861918708

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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
CertificateType	3
CertificateEffectiveDate	9/3/2023
CertificateExpirationDate	9/2/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024