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CHRISTIANA CARE HAVERTOWN ASC, LLC
NPI 1063308096
Clinic/Center - Ambulatory Surgical in Havertown, PA

Active since June 16, 2025CLIA 39D2327525 · Waiver
2010 W CHESTER PIKE STE 212, HAVERTOWN, PA 19083(610) 853-7700 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Christiana Care Havertown Asc, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTIANA CARE HAVERTOWN ASC, LLC (NPI 1063308096) is a healthcare organization registered as an ambulatory surgical in Havertown, Pennsylvania and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through July 23, 2027 and lists Douglas Azar, Director/officer, as its authorized official.

NPPES Registry Identity

NPI1063308096
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCHRISTIANA CARE HAVERTOWN ASC, LLC
Location Address2010 W CHESTER PIKE STE 212Havertown, PA 19083-2736
Mailing Address2010 W Chester Pike Ste 212Havertown, PA 19083-2736
Phone(610) 853-7700
Organization SubpartNo
Authorized OfficialDouglas AzarDirector/officer · (484) 678-8475
Enumeration DateJune 16, 2025
Last NPPES UpdateJune 19, 2025
NPPES CertifiedJune 19, 2025
✔ NPI 1063308096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
2010 W CHESTER PIKE STE 212, Havertown, PA 19083
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2327525

Christiana Care Havertown ASC LLC · Havertown, PA
Active · expires Jul 23, 2027
CLIA Number39D2327525
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 24, 2025
Certificate Expiration DateJuly 23, 2027
Laboratory DirectorDr. William M. Goldstein
Laboratory Phone(610) 853-7700
Laboratory LocationChristiana Care Havertown ASC LLC2010 West Chester Pike, Ste 212, Havertown, PA 19083
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christiana Care Havertown ASC, LLC's NPI number?

The NPI number for Christiana Care Havertown ASC, LLC is 1063308096. It was assigned to this organization in the NPPES registry on June 16, 2025.

Where is Christiana Care Havertown ASC, LLC located?

Christiana Care Havertown ASC, LLC is located at 2010 W Chester Pike Ste 212, Havertown, PA 19083. The listed phone number is (610) 853-7700.

What is Christiana Care Havertown ASC, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Christiana Care Havertown ASC, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2327525) is associated with this NPI, valid through July 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Christiana Care Havertown ASC, LLC was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.