39D2197639 CLIA NUMBER - KIDNEY CARE SPECIALISTS

Laboratory Demographics

  • CLIA Code: 39D2197639
  • Facility Name: KIDNEY CARE SPECIALISTS
  • Facility Address: 259 E LANCASTER AVE
    WYNNEWOOD, PA
    ZIP 19096
  • Facility Phone: 610 649-1175
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. AQEEL A. SIDDIQUI
  • NPI Number: 1962992404
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2197639
LAB Type Physician Office
Facility Name KIDNEY CARE SPECIALISTS
Street 259 E LANCASTER AVE
City WYNNEWOOD
State PA
ZIP 19096
Phone 610 649-1175
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 10/27/2024
Certificate Expiration Date 10/26/2026
Facility Type Physician Office
Lab Director DR. AQEEL A. SIDDIQUI

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