39D2191906 CLIA NUMBER - CENTER CITY PEDIATRICS FISHTOWN

Laboratory Demographics

  • CLIA Code: 39D2191906
  • Facility Name: CENTER CITY PEDIATRICS FISHTOWN
  • Facility Address: 2365 E YORK ST
    PHILADELPHIA, PA
    ZIP 19125
  • Facility Phone: 215 735-5600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ERIC D. BERGER
  • NPI Number: 1174061345
  • Taxonomy: 174N00000X - Lactation Consultant, Non-RN

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D2191906
LAB Type Physician Office
Facility Name CENTER CITY PEDIATRICS FISHTOWN
Street 2365 E YORK ST
City PHILADELPHIA
State PA
ZIP 19125
Phone 215 735-5600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2024
Certificate Expiration Date 9/1/2026
Facility Type Physician Office
Lab Director DR. ERIC D. BERGER

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