39D2271618 CLIA NUMBER - PROHEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 39D2271618
  • Facility Name: PROHEALTH CLINIC
  • Facility Address: 2846 KNIGHTS ROAD
    BENSALEM, PA
    ZIP 19020
  • Facility Phone: 201 417-3050
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BLOSSOM JOY
  • NPI Number: 1679156632
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2271618
LAB Type Physician Office
Facility Name PROHEALTH CLINIC
Street 2846 KNIGHTS ROAD
City BENSALEM
State PA
ZIP 19020
Phone 201 417-3050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2024
Certificate Expiration Date 11/3/2026
Facility Type Physician Office
Lab Director DR. BLOSSOM JOY

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