39D0885573 CLIA NUMBER - LOGAN OPERATOR, LLC

Laboratory Demographics

  • CLIA Code: 39D0885573
  • Facility Name: LOGAN OPERATOR, LLC
  • Facility Address: 2 FRANKLIN TOWN BLVD
    PHILADELPHIA, PA
    ZIP 19103
  • Facility Phone: 215 563-1800
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. KARL T. BENEDICT III
  • NPI Number: 1679015697
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D0885573
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LOGAN OPERATOR, LLC
Street 2 FRANKLIN TOWN BLVD
City PHILADELPHIA
State PA
ZIP 19103
Phone 215 563-1800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2024
Certificate Expiration Date 4/25/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. KARL T. BENEDICT III

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