39D2301746 CLIA NUMBER - GERMANTOWN CHIROPRACTIC CENTER

Laboratory Demographics

  • CLIA Code: 39D2301746
  • Facility Name: GERMANTOWN CHIROPRACTIC CENTER
  • Facility Address: 2755 GERMANTOWN AVE
    PHILADELPHIA, PA
    ZIP 19133
  • Facility Phone: 215 225-7330
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DR. IBRAHIM O. IBRAHIM
  • NPI Number: 1386768117
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 39D2301746
LAB Type Practitioner Other
Facility Name GERMANTOWN CHIROPRACTIC CENTER
Street 2755 GERMANTOWN AVE
City PHILADELPHIA
State PA
ZIP 19133
Phone 215 225-7330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2024
Certificate Expiration Date 3/31/2026
Facility Type Practitioner Other
Lab Director DR. IBRAHIM O. IBRAHIM

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