39D2237857 CLIA NUMBER - CARBON HEALTH MEDICAL GROUP OF FLORIDA, PA

Laboratory Demographics

CLIA Number: 39D2237857

Facility Name: CARBON HEALTH MEDICAL GROUP OF FLORIDA, PA

Facility Address:
2019 WELSH ROAD
DRESHER, PA
ZIP 19025
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Facility Phone Number: 267 434-1107

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1225619638

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	39D2237857
LAB Type	Physician Office
Facility Name	CARBON HEALTH MEDICAL GROUP OF FLORIDA, PA
Street	2019 WELSH ROAD
City	DRESHER
State	PA
ZIP	19025
Phone	267 434-1107
CertificateType	4
CertificateEffectiveDate	9/29/2023
CertificateExpirationDate	9/28/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024