39D0196988 CLIA NUMBER - MARTINS RUN LIFE CARE COMMUNITY

Laboratory Demographics

  • CLIA Code: 39D0196988
  • Facility Name: MARTINS RUN LIFE CARE COMMUNITY
  • Facility Address: 100 HALCYON DRIVE
    MEDIA, PA
    ZIP 19063
  • Facility Phone: 610 353-7660
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. VIVEK K. REDDY
  • NPI Number: 1013902253
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D0196988
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MARTINS RUN LIFE CARE COMMUNITY
Street 100 HALCYON DRIVE
City MEDIA
State PA
ZIP 19063
Phone 610 353-7660
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 DR. VIVEK K. REDDY

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This page was last updated on: 6/4/2025