39D2241605 CLIA NUMBER - NASPAC-NJ, PLLC BALA CYNWYD

Laboratory Demographics

  • CLIA Code: 39D2241605
  • Facility Name: NASPAC-NJ, PLLC BALA CYNWYD
  • Facility Address: 100 PRESIDENTIAL BLVD, SUITE G1
    BALA CYNWYD, PA
    ZIP 19004
  • Facility Phone: 484 236-2121
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SHERRY JOSE
  • NPI Number: 1629648449
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 39D2241605
LAB Type Physician Office
Facility Name NASPAC-NJ, PLLC BALA CYNWYD
Street 100 PRESIDENTIAL BLVD, SUITE G1
City BALA CYNWYD
State PA
ZIP 19004
Phone 484 236-2121
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2023
Certificate Expiration Date 10/29/2025
Facility Type Physician Office
Lab Director DR. SHERRY JOSE

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