39D2220349 CLIA NUMBER - MILLENNIUM OB/GYN

Laboratory Demographics

  • CLIA Code: 39D2220349
  • Facility Name: MILLENNIUM OB/GYN
  • Facility Address: 9807 BUSTLETON AVENUE
    PHILADELPHIA, PA
    ZIP 19115
  • Facility Phone: 215 676-2200
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. DAVID BINDER
  • NPI Number: 1356480404
  • Taxonomy: 111N00000X - Chiropractor

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D2220349
LAB Type Physician Office
Facility Name MILLENNIUM OB/GYN
Street 9807 BUSTLETON AVENUE
City PHILADELPHIA
State PA
ZIP 19115
Phone 215 676-2200
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 4/12/2025
Certificate Expiration Date 4/11/2027
Facility Type Physician Office
Lab Director DR. DAVID BINDER

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: 3/20/2025