39D2308859 CLIA NUMBER - SYNERGY LAB SPOT

Laboratory Demographics

  • CLIA Code: 39D2308859
  • Facility Name: SYNERGY LAB SPOT
  • Facility Address: 917 ARCH ST, APT 408
    PHILADELPHIA, PA
    ZIP 19107
  • Facility Phone: 445 206-2025
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DR. BROOKE K. WORSTER
  • NPI Number: 1770374241
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2308859
LAB Type Practitioner Other
Facility Name SYNERGY LAB SPOT
Street 917 ARCH ST, APT 408
City PHILADELPHIA
State PA
ZIP 19107
Phone 445 206-2025
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2024
Certificate Expiration Date 8/5/2026
Facility Type Practitioner Other
Lab Director DR. BROOKE K. WORSTER

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