39D2306235 CLIA NUMBER - KENSINGTON HEALTH PRACTICE, LLC

Laboratory Demographics

  • CLIA Code: 39D2306235
  • Facility Name: KENSINGTON HEALTH PRACTICE, LLC
  • Facility Address: 3233 KENSINGTON AVE
    PHILADELPHIA, PA
    ZIP 19134
  • Facility Phone: 215 852-5016
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ANIKA VAUGHN-COOKE
  • NPI Number: 1386415073
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 39D2306235
LAB Type Physician Office
Facility Name KENSINGTON HEALTH PRACTICE, LLC
Street 3233 KENSINGTON AVE
City PHILADELPHIA
State PA
ZIP 19134
Phone 215 852-5016
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2024
Certificate Expiration Date 6/12/2026
Facility Type Physician Office
Lab Director DR. ANIKA VAUGHN-COOKE

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