39D2229281 CLIA NUMBER - IT TAKES PHILLY

Laboratory Demographics

  • CLIA Code: 39D2229281
  • Facility Name: IT TAKES PHILLY
  • Facility Address: 7979 STATE RD
    PHILADELPHIA, PA
    ZIP 19136
  • Facility Phone: 484 270-6200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ALA STANDFORD
  • NPI Number: 1285194472
  • Taxonomy: 101YP2500X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 39D2229281
LAB Type Physician Office
Facility Name IT TAKES PHILLY
Street 7979 STATE RD
City PHILADELPHIA
State PA
ZIP 19136
Phone 484 270-6200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2025
Certificate Expiration Date 7/8/2027
Facility Type Physician Office
Lab Director DR. ALA STANDFORD

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