39D2309387 CLIA NUMBER - HDM WELLNESS LLC

Laboratory Demographics

  • CLIA Code: 39D2309387
  • Facility Name: HDM WELLNESS LLC
  • Facility Address: 100 E LANCASTER AVE, MED OFFICE BLDG EAST SUITE 353
    WYNNEWOOD, PA
    ZIP 19096
  • Facility Phone: 267 212-8928
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. HEATHER D. MAHONEY
  • NPI Number: 1790525301
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D2309387
LAB Type Physician Office
Facility Name HDM WELLNESS LLC
Street 100 E LANCASTER AVE, MED OFFICE BLDG EAST SUITE 353
City WYNNEWOOD
State PA
ZIP 19096
Phone 267 212-8928
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2024
Certificate Expiration Date 8/13/2026
Facility Type Physician Office
Lab Director DR. HEATHER D. MAHONEY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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