39D2299985 CLIA NUMBER - JEFFERSON ENDOSCOPY CENTER CITY

Laboratory Demographics

  • CLIA Code: 39D2299985
  • Facility Name: JEFFERSON ENDOSCOPY CENTER CITY
  • Facility Address: 1101 CHESTNUT ST HONICKMAN CTR
    PHILADELPHIA, PA
    ZIP 19107
  • Facility Phone: 215 955-8900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. THOMAS E. KOWALSKI
  • NPI Number: 1487030763
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2299985
LAB Type Physician Office
Facility Name JEFFERSON ENDOSCOPY CENTER CITY
Street 1101 CHESTNUT ST HONICKMAN CTR
City PHILADELPHIA
State PA
ZIP 19107
Phone 215 955-8900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2024
Certificate Expiration Date 2/28/2026
Facility Type Physician Office
Lab Director DR. THOMAS E. KOWALSKI

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