39D2275869 CLIA NUMBER - MAYFAIR PROFESSIONAL'S

Laboratory Demographics

  • CLIA Code: 39D2275869
  • Facility Name: MAYFAIR PROFESSIONAL'S
  • Facility Address: 7439 FRANKFORD AVE
    PHILADELPHIA, PA
    ZIP 19136
  • Facility Phone: 215 333-9484
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CHARYL A. OVALLE
  • NPI Number: 1225076144
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 39D2275869
LAB Type Physician Office
Facility Name MAYFAIR PROFESSIONAL'S
Street 7439 FRANKFORD AVE
City PHILADELPHIA
State PA
ZIP 19136
Phone 215 333-9484
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2025
Certificate Expiration Date 1/30/2027
Facility Type Physician Office
Lab Director DR. CHARYL A. OVALLE

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