39D0012867 CLIA NUMBER - SAINT JOSEPH VILLA

Laboratory Demographics

  • CLIA Code: 39D0012867
  • Facility Name: SAINT JOSEPH VILLA
  • Facility Address: 110 WEST WISSAHICKON AVENUE
    FLOURTOWN, PA
    ZIP 19031
  • Facility Phone: 215 836-4179
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CAROL BOWES-LAWLOR
  • NPI Number: 1649279142
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D0012867
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SAINT JOSEPH VILLA
Street 110 WEST WISSAHICKON AVENUE
City FLOURTOWN
State PA
ZIP 19031
Phone 215 836-4179
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director CAROL BOWES-LAWLOR

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