39D0670405 CLIA NUMBER - MAYFAIR OPERATOR, LLC

Laboratory Demographics

  • CLIA Code: 39D0670405
  • Facility Name: MAYFAIR OPERATOR, LLC
  • Facility Address: 7800 BUSTLETON AVE
    PHILADELPHIA, PA
    ZIP 19152
  • Facility Phone: 215 722-2300
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. UMAR FAROOQ
  • NPI Number: 1134774946
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D0670405
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MAYFAIR OPERATOR, LLC
Street 7800 BUSTLETON AVE
City PHILADELPHIA
State PA
ZIP 19152
Phone 215 722-2300
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. UMAR FAROOQ

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