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39D0861517 CLIA NUMBER - JEFFREY S FREEMAN DO LABORATORY

Laboratory Demographics

CLIA Number: 39D0861517

Facility Name: JEFFREY S FREEMAN DO LABORATORY

Facility Address:
4190 CITY AVE STE 324
PHILADELPHIA, PA
ZIP 19131
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Facility Phone Number: 215 871-1916

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1477736668

Taxonomy: 376K00000X - Nurse's Aide
(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.

CLIA Record

Field Name Field Value
CLIA Number 39D0861517
LAB Type Physician Office
Facility Name JEFFREY S FREEMAN DO LABORATORY
Street 4190 CITY AVE STE 324
City PHILADELPHIA
State PA
ZIP 19131
Phone 215 871-1916
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