39D2298245 CLIA NUMBER - DEVON DERMATOLOGY SERVICES, PC

Laboratory Demographics

  • CLIA Code: 39D2298245
  • Facility Name: DEVON DERMATOLOGY SERVICES, PC
  • Facility Address: 92 LANCASTER AVENUE, SUITE 120
    DEVON, PA
    ZIP 19333
  • Facility Phone: 610 989-2224
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JORDAN V. WANG
  • NPI Number: 1700554235
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 39D2298245
LAB Type Physician Office
Facility Name DEVON DERMATOLOGY SERVICES, PC
Street 92 LANCASTER AVENUE, SUITE 120
City DEVON
State PA
ZIP 19333
Phone 610 989-2224
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type Physician Office
Lab Director DR. JORDAN V. WANG

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