39D0199554 CLIA NUMBER - ST JOHN NEUMANN CENTER FOR REHABILITATION

Laboratory Demographics

  • CLIA Code: 39D0199554
  • Facility Name: ST JOHN NEUMANN CENTER FOR REHABILITATION
  • Facility Address: 10400 ROOSEVELT BOULEVARD
    PHILADELPHIA, PA
    ZIP 19116
  • Facility Phone: 215 698-5600
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. LARRY W. SPECTOR
  • NPI Number: 1134103419
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D0199554
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ST JOHN NEUMANN CENTER FOR REHABILITATION
Street 10400 ROOSEVELT BOULEVARD
City PHILADELPHIA
State PA
ZIP 19116
Phone 215 698-5600
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. LARRY W. SPECTOR

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