39D2290047 CLIA NUMBER - THOMAS JEFFERSON UNIVERSITY CSAT

Laboratory Demographics

  • CLIA Code: 39D2290047
  • Facility Name: THOMAS JEFFERSON UNIVERSITY CSAT
  • Facility Address: 1021 S 21ST STREET
    PHILADELPHIA, PA
    ZIP 19146
  • Facility Phone: 215 890-6277
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: DR. WILLIAM C. JANGRO
  • NPI Number: 1467547968
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 39D2290047
LAB Type Comp. Outpatient Rehab Facility
Facility Name THOMAS JEFFERSON UNIVERSITY CSAT
Street 1021 S 21ST STREET
City PHILADELPHIA
State PA
ZIP 19146
Phone 215 890-6277
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2025
Certificate Expiration Date 9/19/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director DR. WILLIAM C. JANGRO

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