39D2278444 CLIA NUMBER - MERAKEY TOTAL HEALTH

Laboratory Demographics

CLIA Number: 39D2278444

Facility Name: MERAKEY TOTAL HEALTH

Facility Address:
27 E MT AIRY AVENUE
PHILADELPHIA, PA
ZIP 19119
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Facility Phone Number: 215 248-6833

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1104337641

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	39D2278444
LAB Type	Community Clinic
Facility Name	MERAKEY TOTAL HEALTH
Street	27 E MT AIRY AVENUE
City	PHILADELPHIA
State	PA
ZIP	19119
Phone	215 248-6833
CertificateType	4
CertificateEffectiveDate	3/17/2023
CertificateExpirationDate	3/16/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024