39D0200349 CLIA NUMBER - CHELTENHAM NURSING

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Laboratory Demographics

CLIA Number: 39D0200349

Facility Name: CHELTENHAM NURSING

Facility Address:
600 W CHELTENHAM AVE
PHILADELPHIA, PA
ZIP 19126
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Facility Phone Number: 610 664-2951

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1518918762

Taxonomy: 261QM2500X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

CLIA Record

Field Name	Field Value
CLIA Number	39D0200349
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	CHELTENHAM NURSING
Street	600 W CHELTENHAM AVE
City	PHILADELPHIA
State	PA
ZIP	19126
Phone	610 664-2951
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024