39D2251775 CLIA NUMBER - CASIMIR M WOLANIN

Laboratory Demographics

  • CLIA Code: 39D2251775
  • Facility Name: CASIMIR M WOLANIN
  • Facility Address: 1210 DARBY RD
    HAVERTOWN, PA
    ZIP 19083
  • Facility Phone: 610 789-7337
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DR. CASIMIR M. WOLANIN
  • NPI Number: 1073614947
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 39D2251775
LAB Type Practitioner Other
Facility Name CASIMIR M WOLANIN
Street 1210 DARBY RD
City HAVERTOWN
State PA
ZIP 19083
Phone 610 789-7337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2024
Certificate Expiration Date 2/4/2026
Facility Type Practitioner Other
Lab Director DR. CASIMIR M. WOLANIN

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