39D0893503 CLIA NUMBER - TUCKER HOUSE NURSING & REHAB CTR

Laboratory Demographics

  • CLIA Code: 39D0893503
  • Facility Name: TUCKER HOUSE NURSING & REHAB CTR
  • Facility Address: 1001 WALLACE STREET
    PHILADELPHIA, PA
    ZIP 19123
  • Facility Phone: 215 235-1600
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. STEVEN C. LEWIS
  • NPI Number: 1710095955
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D0893503
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name TUCKER HOUSE NURSING & REHAB CTR
Street 1001 WALLACE STREET
City PHILADELPHIA
State PA
ZIP 19123
Phone 215 235-1600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2024
Certificate Expiration Date 2/26/2026
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