39D2216623 CLIA NUMBER - ABC URGENT CARE LLC

Laboratory Demographics

  • CLIA Code: 39D2216623
  • Facility Name: ABC URGENT CARE LLC
  • Facility Address: 1010 COTTMAN AVE
    PHILADELPHIA, PA
    ZIP 19111
  • Facility Phone: 215 970-9500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SHUANG WANG
  • NPI Number: 1831781509
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2216623
LAB Type Physician Office
Facility Name ABC URGENT CARE LLC
Street 1010 COTTMAN AVE
City PHILADELPHIA
State PA
ZIP 19111
Phone 215 970-9500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2025
Certificate Expiration Date 3/14/2027
Facility Type Physician Office
Lab Director DR. SHUANG WANG

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