39D2300674 CLIA NUMBER - ST LUKE'S PEDIATRIC NEPHROLOGY

Laboratory Demographics

CLIA Number: 39D2300674

Facility Name: ST LUKE'S PEDIATRIC NEPHROLOGY

Facility Address:
5425 LANARK RD, SUITE 300
CENTER VALLEY, PA
ZIP 18034
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Facility Phone Number: 484 658-5437

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1437101540

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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
CertificateType	4
CertificateEffectiveDate	3/14/2024
CertificateExpirationDate	3/13/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024