39D2245983 CLIA NUMBER - PHOENIXVILLE FREE CLINIC

Laboratory Demographics

  • CLIA Code: 39D2245983
  • Facility Name: PHOENIXVILLE FREE CLINIC
  • Facility Address: 143 CHURCH STREET
    PHOENIXVILLE, PA
    ZIP 19460
  • Facility Phone: 610 935-1134
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. ANDREA W. PELLEGRINO
  • NPI Number: 1629076609
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 39D2245983
LAB Type Community Clinic
Facility Name PHOENIXVILLE FREE CLINIC
Street 143 CHURCH STREET
City PHOENIXVILLE
State PA
ZIP 19460
Phone 610 935-1134
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2023
Certificate Expiration Date 12/19/2025
Facility Type Community Clinic
Lab Director DR. ANDREA W. PELLEGRINO

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