39D0890230 CLIA NUMBER - WAVERLY HEIGHTS LTD

Laboratory Demographics

  • CLIA Code: 39D0890230
  • Facility Name: WAVERLY HEIGHTS LTD
  • Facility Address: 1400 WAVERLY ROAD
    GLADWYNE, PA
    ZIP 19035
  • Facility Phone: 610 645-8742
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. CHARLES F. BREISH
  • NPI Number: 1255329918
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D0890230
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WAVERLY HEIGHTS LTD
Street 1400 WAVERLY ROAD
City GLADWYNE
State PA
ZIP 19035
Phone 610 645-8742
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2024
Certificate Expiration Date 8/14/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. CHARLES F. BREISH

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