39D0883532 CLIA NUMBER - IVY HILL REHABILITATION CENTER D/B/A ARISTACARE IVY HILL

Laboratory Demographics

  • CLIA Code: 39D0883532
  • Facility Name: IVY HILL REHABILITATION CENTER D/B/A ARISTACARE IVY HILL
  • Facility Address: 1401 IVY HILL ROAD
    PHILADELPHIA, PA
    ZIP 19150
  • Facility Phone: 215 233-5605
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. STEVEN C. LEWIS
  • NPI Number: 1558549170
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D0883532
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name IVY HILL REHABILITATION CENTER D/B/A ARISTACARE IVY HILL
Street 1401 IVY HILL ROAD
City PHILADELPHIA
State PA
ZIP 19150
Phone 215 233-5605
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2024
Certificate Expiration Date 3/9/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. STEVEN C. LEWIS

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