39D2298839 CLIA NUMBER - BALA ASC, LLC

Laboratory Demographics

  • CLIA Code: 39D2298839
  • Facility Name: BALA ASC, LLC
  • Facility Address: 1 PRESIDENTIAL BLVD, SUITE 100
    BALA CYNWYD, PA
    ZIP 19004
  • Facility Phone: 610 667-3020
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. LAURENCE H. BELKOFF
  • NPI Number: 1467003038
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2298839
LAB Type Ambulatory Surgery Center
Facility Name BALA ASC, LLC
Street 1 PRESIDENTIAL BLVD, SUITE 100
City BALA CYNWYD
State PA
ZIP 19004
Phone 610 667-3020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2024
Certificate Expiration Date 2/8/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. LAURENCE H. BELKOFF

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