39D2300674 CLIA NUMBER - ST LUKE'S PEDIATRIC NEPHROLOGY

Laboratory Demographics

  • CLIA Code: 39D2300674
  • Facility Name: ST LUKE'S PEDIATRIC NEPHROLOGY
  • Facility Address: 5425 LANARK RD, SUITE 300
    CENTER VALLEY, PA
    ZIP 18034
  • Facility Phone: 484 658-5437
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. TECILE T. ANDOLINO
  • NPI Number: 1437101540
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2300674
LAB Type Physician Office
Facility Name ST LUKE'S PEDIATRIC NEPHROLOGY
Street 5425 LANARK RD, SUITE 300
City CENTER VALLEY
State PA
ZIP 18034
Phone 484 658-5437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2024
Certificate Expiration Date 3/13/2026
Facility Type Physician Office
Lab Director DR. TECILE T. ANDOLINO

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