39D2327598 CLIA NUMBER - SHANNONDELL MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 39D2327598
  • Facility Name: SHANNONDELL MEDICAL GROUP
  • Facility Address: 20000 SHANNONDELL DRIVE
    AUDUBON, PA
    ZIP 19403
  • Facility Phone: 610 382-9737
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. PAYCE J. HANDLER
  • NPI Number: 1225825342
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2327598
LAB Type Physician Office
Facility Name SHANNONDELL MEDICAL GROUP
Street 20000 SHANNONDELL DRIVE
City AUDUBON
State PA
ZIP 19403
Phone 610 382-9737
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2025
Certificate Expiration Date 7/24/2027
Facility Type Physician Office
Lab Director DR. PAYCE J. HANDLER

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