39D2285786 CLIA NUMBER - MERAKEY PARKSIDE RECOVERY

Laboratory Demographics

  • CLIA Code: 39D2285786
  • Facility Name: MERAKEY PARKSIDE RECOVERY
  • Facility Address: 1745 N 4TH STREET
    PHILADELPHIA, PA
    ZIP 19122
  • Facility Phone: 215 236-0100
  • Facility Type: Other - OUTPATIENT CLNIC D&A
  • Facility Type: Waiver
  • Lab Director: DR. BERNARD A. HARRIS
  • NPI Number: 1194468413
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 39D2285786
LAB Type Other - OUTPATIENT CLNIC D&A
Facility Name MERAKEY PARKSIDE RECOVERY
Street 1745 N 4TH STREET
City PHILADELPHIA
State PA
ZIP 19122
Phone 215 236-0100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2025
Certificate Expiration Date 7/17/2027
Facility Type Other - OUTPATIENT CLNIC D&A
Lab Director DR. BERNARD A. HARRIS

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