39D2322518 CLIA NUMBER - CHEF WELLNESS CLINIC, LLC

Laboratory Demographics

  • CLIA Code: 39D2322518
  • Facility Name: CHEF WELLNESS CLINIC, LLC
  • Facility Address: 1016 WARRIOR RD, SUITE B
    DREXEL HILL, PA
    ZIP 19026
  • Facility Phone: 610 788-3430
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DR. LEAH K. ROBERTS
  • NPI Number: 1417665241
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 39D2322518
LAB Type Practitioner Other
Facility Name CHEF WELLNESS CLINIC, LLC
Street 1016 WARRIOR RD, SUITE B
City DREXEL HILL
State PA
ZIP 19026
Phone 610 788-3430
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2025
Certificate Expiration Date 4/22/2027
Facility Type Practitioner Other
Lab Director DR. LEAH K. ROBERTS

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