39D2264597 CLIA NUMBER - URBANCARE PHARMACY LLC

Laboratory Demographics

  • CLIA Code: 39D2264597
  • Facility Name: URBANCARE PHARMACY LLC
  • Facility Address: 169 W LEHIGH AVENUE
    PHILADELPHIA, PA
    ZIP 19133
  • Facility Phone: 267 858-4662
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSEPH J. URBAN
  • NPI Number: 1669860284
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2264597
LAB Type Pharmacy
Facility Name URBANCARE PHARMACY LLC
Street 169 W LEHIGH AVENUE
City PHILADELPHIA
State PA
ZIP 19133
Phone 267 858-4662
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2024
Certificate Expiration Date 7/17/2026
Facility Type Pharmacy
Lab Director JOSEPH J. URBAN

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